Volume 46, Issue 4 , Pages 374-378, December 2007
Pelvic Floor Dysfunction in Aging Women
Article Outline
SUMMARY
The occurrence of pelvic floor dysfunction may increase steadily during the aging process in women. Pelvic floor dysfunction may be associated with dysfunctions of micturition, defecation, prolapse, and sex. The natural history and mechanism of pelvic floor dysfunction in aged women are not well understood or explored. In this article, we review the effect of age on the prevalence of pelvic floor dysfunction and on the structural and functional changes of the lower urinary tract, anorectum and pelvic floor. Altogether, the aging process has a negative impact on either the function or structure of the lower urinary tract, anorectum and pelvic floor in women.
Key Words: aging , anal function , elderly , lower urinary tract dysfunction , pelvic floor dysfunction , pelvic floor
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References
- . Epidemiology of genital prolapse: observations from the Oxford Family Planning Association Study . Br J Obstet Gynaecol . 1997;104:579–585
- Is the histomorphologi-cal concept of the female pelvic floor and its changes due to age and vaginal delivery correct? . Neurourol Urodyn . 2005;24:44–50
- . The prevalence of pelvic floor disorders and their relationship to gender, age, parity and mode of delivery . BJOG . 2000;107:1460–1470
- . Anorectal dysfunction in women with urinary incontinence or lower urinary tract symptoms . Int J Gynaecol Obstet . 2002;77:139–145
- . Prevalence and correlation of urinary incontinence and overactive bladder in Taiwanese women . Neurourol Urodyn . 2003;22:109–117
- . Prevalence and correlations of anal incontinence and constipation in Taiwanese women . Neurourol Urodyn . 2003;22:664–669
- . Urgency is the core symptom of female overactive bladder syndrome, as demonstrated by a statistical analysis . J Urol . 2006;176:636–640
- . Is the occurrence of storage and voiding dysfunction affected by meno-pausal transition or associated with the normal aging process? . Menopause . 2003;10:203–208
- Prevalence and burden of overactive bladder in the United States . World J Urol . 2003;20:327–336
- . How widespread are the symptoms of an overactive bladder and how are they managed? A population-based prevalence study . BJU Int . 2001;87:760–766
- . Prevalence and physician awareness of symptoms of urinary bladder dysfunction . Eur Urol . 2002;41:234–239
- . What affects the occurrence of nocturia more: menopause or age? . Maturitas . 2005;50:71–77
- . Has the true prevalence of voiding difficulty in urogynecology patients been underestimated? . Int Urogynecol J Pelvic Floor Dysfunct . 2007;18:53–56
- . Maximum and average urine flow rates in normal male and female populations—the Liverpool nomograms . Br J Urol . 1989;64:30–38
- . Constipation in the elderly living at home: definition, prevalence, and relationship to lifestyle and health status . J Am Geriatr Soc . 1989;37:423–429
- . Clinical epidemiology of chronic constipation . J Clin Gastroenterol . 1989;11:525–536
- . Characterisation of detrusor contractile function in relation to old age . Br J Urol . 1993;72:873–880
- . Characteristics of urinary incontinence in elderly patients studied by 24-hour monitoring and urodynamic testing . Age Ageing . 1992;21:195–201
- . Cerebral aetiology of urinary urge incontinence in elderly people . Age Ageing . 1994;23:246–250
- . Urge incontinence and impaired detrusor contractility in the elderly . Neurourol Urodyn . 2002;21:126–131
- . Post-operative urinary retention in women: management by intermittent catheterization . Age Ageing . 1900;19:337–340
- . The effect of age on the autonomic innervation of the urinary bladder . Br J Urol . 1986;58:378–381
- . Urinary symptoms and urodynamics in a normal elderly population . Scand J Urol Nephrol . 1994;157(Suppl):27–30
- . Effects of aging on lower urinary tract and pelvic floor function in nulliparous women . Obstet Gynecol . 2007;109:715–720
- . Age effects on anorectal pressure in anal continent women with lower urinary tract dysfunction . Int Urogynecol J Pelvic Floor Dysfunct . 2007;18:295–300
- . Effect of aging on anorectal and pelvic floor functions in females . Dis Colon Rectum . 2006;49:1726–1735
- . The effect of aging on the electromyographic activity of pelvic floor muscles: a comparative study among stress incontinent patients and asymptomatic women . Maturitas . 2003;44:253–257
- . The role of pregnancy and childbirth in partial denervation of the pelvic floor . Neurourol Urodyn . 1992;6:183–184
- . Pelvic floor changes in the older woman . Br J Urol . 1998;82(Suppl 1):18–25
- . Pelvic floor nerve conduction studies: establishing clinically relevant normative data . Am J Obstet Gynecol . 2003;189:1114–1119
- . Evidence of major myopathic changes in the striated urethral sphincter muscle in the female . Neurourol Urodyn . 1997;15:394–395
- . Age effects on urethral striated muscle. I. Changes in number and diameter of striated muscle fibers in the ventral urethra . Am J Obstet Gynecol . 2002;186:351–355
- . Age effects on urethral striated muscle. II. Anatomic location of muscle loss . Am J Obstet Gynecol . 2002;186:356–360
- . Factors maintaining the intraurethral pressure in women . Invest Urol . 1980;17:343–347
- . Morphometric analysis of smooth muscle in the anterior vaginal wall of women with pelvic organ prolapse . Am J Obstet Gynecol . 2002;187:56–63
- . Changes in the extracellular matrix in the anterior vagina of women with or without prolapse . Int Urogynecol J Pelvic Floor Dysfunct . 2006;18:43–48
- . Normal anal sphincter anatomy and age- and sex-related variations at high-spatial-resolution endoanal MR imaging . Radiology . 2000;217:395–401
PII: S1028-4559(08)60006-6
doi:10.1016/S1028-4559(08)60006-6
© 2007 Taiwan Association of Obstetric & Gynecology. Published by Elsevier Inc. All rights reserved.
Volume 46, Issue 4 , Pages 374-378, December 2007
