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. 2026 Feb 13;14:e20783. doi: 10.7717/peerj.20783

Table 2. Univariate and multivariate analyses for constipation occurrence in the entire cohort.

Characteristics Non-constipation (n = 898) Constipation (n = 247) Univariate Multivariate
OR (95% CI) P OR (95% CI) P
Bladder neck hypermobility (%) No 282 (31.4) 78 (31.6) Reference
Yes 616 (68.6) 169 (68.4) 0.99 (0.73–1.34) 0.958
Vesicocele (%) No 337 (37.5) 91 (36.8) Reference
Yes 561 (62.5) 156 (63.2) 1 (0.77–1.38) 0.844
Uterine prolapse (%) No 580 (64.6) 154 (62.3) Reference
Yes 318 (35.4) 93 (37.7) 1.1 (0.82–1.47) 0.516
Rectocele (%) No 848 (94.4) 223 (90.3) Reference
Yes 50 (5.6) 24 (9.7) 1.8 (1.1–3.04) 0.020 1.82 (1.07–3.01) 0.023
Perineal hypermobility (%) No 537 (59.8) 153 (61.9) Reference
Yes 361 (40.2) 94 (38.1) 0.91 (0.68–1.22) 0.542
Rupture of the levator ani muscle (%) No 878 (97.8) 240 (97.2) Reference
Yes 20 (2.2) 7 (2.8) 1.3 (0.54–3.06) 0.579
Rupture of the anal sphincter (%) No 892 (99.3) 244 (98.8) Reference
Yes 6 (0.7) 3 (1.2) 1.8 (0.45–7.36) 0.396
Levator ani hiatus dilation (%) No 290 (32.3) 67 (27.1) Reference
Yes 608 (67.7) 180 (72.9) 1.3 (0.94–1.75) 0.121
Levator ani hiatus area (cm2, median (IQR)) 22.75 [18, 28] 24 [19.85, 29] 1 (1–1.04) 0.048 1.01 (0.99–1.03) 0.449
Position of the bladder at rest (mm, median (IQR)) 29 [27, 31] 29 [27, 31] 1 (0.96–1.04) 0.869
Position of the bladder at VM (mm, median (IQR)) −3 [−10, 9] −2 [−9.5, 10] 1 (0.99–1.01) 0.569
Position of the uterus at VM (mm, median (IQR)) 6 [−2, 14] 5 [−1, 9] 0.99 (0.98–0.999) 0.033 0.99 (0.98–1.00) 0.154
Position of the rectum at VM (%) Up 122 (13.6) 23 (9.3) Reference
Down 776 (86.4) 224 (90.7) 1.5 (0.96–2.45) 0.075 1.31 (0.81–2.17) 0.285
Bladder descent (mm, median [IQR]) 32 [22, 40] 31 [21, 40] 1 (0.99–1.01) 0.599

Notes.

OR
odds ratio
VM
maximal Valsalva maneuver
up/down
the position of the pelvic organs is either above or below the pubic symphysis.