Table 1.
Comparison of Clinical Features, Psychiatric Diseases, and Pelvic Surgeries in Olmsted County in Men and Women with Clinically Diagnosed Defecatory Disordersa, b
| Female (209) | Male (36) | Total (245) | P-value | |
|---|---|---|---|---|
| Age | 44 ± 18 | 49 ± 19 | 44 ± 18 | 0.078 |
| BMI | 26.7±6.0 | 28.8±6.0 | 27.0±6.0 | 0.060 |
|
Other gastroenterological and pelvic floor disorders |
||||
| Irritable bowel syndrome | 62 (30%) | 9 (25%) | 71 (29%) | 0.69 |
| Inflammatory bowel disease | 1 (0.5%) | 1 (3%) | 2 (0.8%) | 0.27 |
| Fecal incontinence | 21 (10%) | 4 (11%) | 25 (10%) | 0.77 |
| Rectocoele | 28 (13%) | 0 (0%) | 28 (11%) | 0.019 |
| Rectal prolapse | 5 (2%) | 0 (0%) | 5 (2%) | 1 |
| Enterocele | 5 (2%) | 0 (0%) | 5 (2%) | 1 |
| Cystocele | 18 (9%) | 0 (0%) | 18 (7%) | 0.084 |
| Urinary incontinence | 32 (15%) | 1 (3%) | 33 (13%) | 0.060 |
| Endometriosis | 13 (6%) | NA | ||
| Polycystic ovarian disease | 4 (2%) | NA | ||
| Neurological diseases | ||||
| Parkinson’s disease | 0 (0%) | 2 (6%) | 2 (0.8%) | 0.021 |
| Multiple sclerosis | 2 (1%) | 0 (0%) | 2 (0.8%) | 1 |
| Diabetes mellitus | 7 (3%) | 4 (11%) | 11 (4%) | 0.061 |
| Diabetic neuropathy | 2 (1%) | 2 (6%) | 4 (2%) | 0.104 |
| Psychiatric conditions | ||||
| Depression | 97 (46%) | 10 (28%) | 107 (44%) | 0.045 |
| Anxiety disorder | 36 (17%) | 6 (17%) | 42 (17%) | 1 |
| PTSD | 7 (3%) | 0 (0%) | 7 (3%) | 0.60 |
| Eating disorder | 15 (7%) | 0 (0%) | 15 (6%) | 0.14 |
| Any psychiatric diagnosis | 103 (49%) | 15 (42%) | 118 (48%) | 0.47 |
| Emotional abuse | 4 (2%) | 0 (0%) | 4 (2%) | 1 |
| Physical abuse | 7 (3%) | 2 (6%) | 9 (4%) | 0.62 |
| Sexual abuse | 8 (4%) | 1 (3%) | 9 (4%) | 1 |
| More than 1 type of abuse | 20 (10%) | 1 (3%) | 21 (8%) | 0.33 |
| Any abuse | 41 (20%) | 4 (11%) | 45 (18%) | 0.35 |
|
Gastrointestinal or pelvic surgeries |
||||
| Cholecystectomy | 20 (10%) | 3 (8%) | 23 (9%) | 1 |
| Appendectomy | 35 (17%) | 4 (11%) | 39 (16%) | 0.47 |
| Abdominal wall hernia repair | 9 (4%) | 1 (3%) | 10 (4%) | 1 |
| Surgery for pelvic organ prolapse |
29 (14%) | 1 (3%) | 30 (12%) | 0.093 |
| Partial colectomy | 5 (2%) | 3 (8%) | 8 (3%) | 0.097 |
| Total colectomy | 0 (0%) | 1 (3%) | 1 (0.4%) | 0.15 |
| Hysterectomy | 62 (30%) | NA | ||
| Abdominal | 42 (20%) | NA | ||
| Vaginal | 20 (10%) | NA | ||
Abbreviations: Body Mass Index (BMI); Post-Traumatic Stress Disorder (PTSD).
a
Variables expressed as percentages (numbers), or means ± standard deviations.
b
Only conditions that preceded the diagnosis of DD were considered here.