World journal of gastrointestinal surgery · 2026
Perception of rectal prolapse symptoms in patients with psychiatric disorders.
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Akeel Nouf, Rajasingh Charlotte Mary, Earley Michelle, Au Hoy Sydni, Neshatian Leila, Enemchukwu Ekene, Mishra Kavita, Gurland Brooke
Аннотация
BACKGROUND: The perception of symptoms in individuals with rectal prolapse (RP) can be influenced by psychiatric disorders (PD). It was hypothesized that women with a history of PD would experience higher levels of bother from RP symptoms.
AIM: To examine the relationship between PD and symptom severity in women with RP.
METHODS: A retrospective analysis was conducted on female patients with RP from an approved registry. Demographic data, medical history, and prolapse-associated symptoms were collected. Validated questionnaires were used to measure the severity of symptoms and degree of associated bother. Patients with and without psychiatric history were compared.
RESULTS: Among the 200 patients included in the study, 83 (42%) had a PD, with depression (n = 46) and anxiety (n = 38) being the most prevalent. Patients with psychiatric history were younger (mean age: 58 ± 16) compared to those without PD (mean age: 66 ± 15; P < 0.001). The patients with PD reported higher scores on the Pelvic Floor Distress Inventory Questionnaire-20 [median (interquartile range): 137.5 (77.08, 180.21) vs 101.04 (67.71, 150)] and Pelvic Floor Impact Questionnaire-7 [median (interquartile range): 100 (59.52, 171.43) vs 80.95 (38.10, 142.86)]. The bowel symptoms were the primary contributors to the distress experienced by these patients.
CONCLUSION: Women with RP have a higher prevalence of PD and perceive bowel symptoms as more severe. Routine screening for PD is recommended and may improve patients' outcomes.
AIM: To examine the relationship between PD and symptom severity in women with RP.
METHODS: A retrospective analysis was conducted on female patients with RP from an approved registry. Demographic data, medical history, and prolapse-associated symptoms were collected. Validated questionnaires were used to measure the severity of symptoms and degree of associated bother. Patients with and without psychiatric history were compared.
RESULTS: Among the 200 patients included in the study, 83 (42%) had a PD, with depression (n = 46) and anxiety (n = 38) being the most prevalent. Patients with psychiatric history were younger (mean age: 58 ± 16) compared to those without PD (mean age: 66 ± 15; P < 0.001). The patients with PD reported higher scores on the Pelvic Floor Distress Inventory Questionnaire-20 [median (interquartile range): 137.5 (77.08, 180.21) vs 101.04 (67.71, 150)] and Pelvic Floor Impact Questionnaire-7 [median (interquartile range): 100 (59.52, 171.43) vs 80.95 (38.10, 142.86)]. The bowel symptoms were the primary contributors to the distress experienced by these patients.
CONCLUSION: Women with RP have a higher prevalence of PD and perceive bowel symptoms as more severe. Routine screening for PD is recommended and may improve patients' outcomes.