Women's experiences of managing digitation: do we ask enough in primary care?

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Authors
Eustice, S.
Endacott, Ruth
Morris, J.
Shankar, R.
Kent, B.
Journal
JRSM open
Type
Journal Article
Publisher
Royal Society of Medicine
Rights
Archived with thanks to JRSM open. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http:// www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://uk.sagepub.com/en-us/nam/open-access-at-sage).
The aim of this paper was to consider the available evidence for the current management of pelvic organ prolapse, which is a common presentation in primary care. However, not all women will present, only presenting when symptoms become bothersome. Particular attention was paid to understanding the problem of rectocele and its influence on obstructive defaecation symptoms. The burden of rectocele and its consequences are not truly known. Furthermore, healthcare professionals may not always enquire about bowel symptoms and patients may not disclose them. Complex emotions around coping and managing stress add to the challenges with seeking healthcare. Therefore, the impact on the lived experience of women who have difficulty with rectal emptying can be significant. The review identified a dearth of knowledge about women living with the problem of obstructive defaecation resulting in the use of digitation. Improving the management of digitation, an under-reported problem, is necessary to improve the quality of life for women. Primary care needs to increase access to conservative measures for women struggling with bothersome symptoms, such as constipation, the need to digitate or anxiety.
Citation
Women's experiences of managing digitation: do we ask enough in primary care? 2018, 9 (8):2054270418783616 JRSM Open
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