Exacerbation of Symptom Severity of Pelvic Floor Disorders in Women Who Report a History of Sexual Abuse

Abstract

Pelvic floor disorders (PFDs) manifested as fecal incontinence or constipation have a profound effect on women's activity and quality of life. Evidence suggests that the prevalence for each PFD is as high as 25%.^1,2 In general, fecal incontinence is defined as the accidental loss of stool, whereas constipation refers to infrequent and difficult bowel movements. Specialists evaluating either disorder rely on physiologic assessments of the rectum and anus to determine the pathologic origin and offer proper treatment.^3-6 Regardless of the cause, initial management consists of dietary and noninvasive medical management, the success of which partially depends on patient motivation and compliance.⁷ When first-line treatment fails, other therapies are directed toward mending altered anatomy or physiology using surgery and biofeedback.^7-9