FM Pelvic Floor and Urinary Symptom Distress Tied to Disease Severity

FM Pelvic Floor and Urinary Symptom Distress Tied to Disease Severity
Oregon Health & Science University researchers recently found that disease severity in women with fibromyalgia (FM) is linked to increased urinary symptoms and problems related to the pelvic floor. The study, titled "Pelvic Floor and Urinary Distress in Women With Fibromyalgia," appeared in the journal Pain Management Nursing. The study administered a survey to 204 women with fibromyalgia, and 177 completed all three questionnaires included. The group was composed of patients with moderate to severe FM, and most participants reported having experienced FM symptoms for more than 10 years. The first questionnaire, the Revised Fibromyalgia Impact Questionnaire (FIQR), examined current level of negative impact from FM symptoms divided into three categories: level of function, overall impact, and symptoms. The other two questionnaires examined pelvic floor symptoms. The Pelvic Floor Distress Inventory-20 (PFDI-­20) is composed of three subscales assessing different kinds of pelvic floor symptoms. Prolapse symptoms are characterized by a heaviness in the pelvic area, or a feeling that something is falling out. Patients often have to push on the bulge in the vaginal area to start or complete urination. The second subscale — urinary distress — measures urinary frequency, urgency, and leakage. The third, investigating anal distress, measures the occurrence of strain or pain during defecation, the presence of a bulging rectum during or after defecation, and the ability to completely empty the b
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