PDF herunterladen
Open Access
CC BY 4.0 · Journal of Coloproctology 2024; 44(02): e131-e136
DOI: 10.1055/s-0044-1787290
Original Article

Constipation in Women with High-Grade Intraepithelial Neoplasia and Cervical Cancer: Does the Extent of Cervical Lesion Invasion Influence the Severity of Constipation and Compromise Quality of Life?

Autoren

  • Glicia Estevam de Abreu 

    1   Escola Bahiana de Medicina e Saúde Pública, Salvador, Brazil
    2   Serviço Estadual de Oncologia, Secretaria de Saúde do Estado da Bahia, Salvador, Salvador, Brazil
    3   Centro de Coloproctologia da Bahia, Salvador, Salvador, Brazil

  • Gabriel Perez Palácio

    1   Escola Bahiana de Medicina e Saúde Pública, Salvador, Brazil
    2   Serviço Estadual de Oncologia, Secretaria de Saúde do Estado da Bahia, Salvador, Salvador, Brazil

  • Eduarda Alvarez Silva

    1   Escola Bahiana de Medicina e Saúde Pública, Salvador, Brazil

  • Antônio Vítor Martinelli Braga

    1   Escola Bahiana de Medicina e Saúde Pública, Salvador, Brazil

  • Paulo André Lago Silva

    3   Centro de Coloproctologia da Bahia, Salvador, Salvador, Brazil

Financial None.
Weitere Informationen
Auch verfügbar auf
  Lizenzen und Reprints

Abstract

Introduction Constipation is a common clinical condition, particularly among cancer patients.

Objective To assess the prevalence and severity of CF in women with high-grade intraepithelial neoplasia (HSIL) and cervical cancer (CC), as well as the impact of this condition on their daily lives.

Methods A cross-sectional study was conducted at a tertiary cancer center. To assess the presence and severity of constipation, the Rome IV criteria, and the Constipation Scoring System (CSS) were used. To assess the impact of constipation on daily life, the Visual Analogue Scale (VAS) was used.

Results The study included 153 patients with HSIL or CC, with a median age of 44 (IQR 35–56) years. Constipation was reported in 54 (35.3%) patients, 33 (61.1%) of those with HSIL, and 21 (38.9%) of those with CC. In constipated patients, the median number of positive Rome IV criteria items was 3 (IQR 2–5). "Irregular or hard stools" was the most common complaint, affecting 41 (75.9%) of the patients. In patients with CC, the use of analgesic medications was associated with constipation (p = 0.016). There is no link between constipation and invasive cancer (p = 0.492). Constipation had a daily impact of 7.5 (IQR 4.75–9), with no relationship between VAS and clinical diagnosis (HSIL or CC) [7 (IQR 3-9) X 8 (5-9.5), p-value = 0.536] The more severe the constipation, the more disturbing it is to these women's daily lives.

Conclusion Constipation is common in women with cervical lesions, affecting their daily lives regardless of their severity.

Keywords

constipation - cervical cancer - high-grade intraepithelial neoplasia - quality of life


Publikationsverlauf

Eingereicht: 10. Januar 2024

Angenommen: 09. April 2024

Artikel online veröffentlicht:
06. Juni 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil