{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T03:56:55Z","timestamp":1776398215146,"version":"3.51.2"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2021,1,24]],"date-time":"2021-01-24T00:00:00Z","timestamp":1611446400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"},{"start":{"date-parts":[[2021,1,24]],"date-time":"2021-01-24T00:00:00Z","timestamp":1611446400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"funder":[{"DOI":"10.13039\/501100014804","name":"Mackay Medical College","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100014804","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["jsm.jsexmed.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,3,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Vaginal flatus is involuntarily passing gas from the vagina. Women seldom voluntarily report it, and related data are limited.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To investigate the prevalence of vaginal flatus in women with pelvic floor disorders and its impact on sexual function.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was an observational study involving women who visited a urogynecologic clinic in a tertiary medical center. Patients were asked about their experience of vaginal flatus. Other evaluations included urodynamics, genital prolapse stage, and quality-of-life questionnaires, including the short form of the Pelvic Organ Prolapse\/Urinary Incontinence Sexual Questionnaire, Urogenital Distress Inventory, and Incontinence Impact Questionnaire.<\/jats:p><\/jats:sec><jats:sec><jats:title>Outcomes<\/jats:title><jats:p>Clinical characteristics, vaginal anatomic landmarks, stage of prolapse, urodynamic parameters, and quality-of-life scores were compared between women with and without vaginal flatus.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Among 341 women, 118 (35%) reported vaginal flatus, which was more common in those who were younger (a mean age of 49.3 \u00b1 9.2 years; range 25\u201374 years vs 49.3 \u00b1 9.2 years; range 25\u201374 years, P &amp;lt; .001) and sexually active (98% vs 55%, P &amp;lt; .001). Women with vaginal flatus had significantly worse sexual function (Pelvic Organ Prolapse\/Urinary Incontinence Sexual Questionnaire, 16.3 \u00b1 15.9 vs 30.9 \u00b1 8.0, P &amp;lt; .001) and incontinence-related quality of life (Urogenital Distress Inventory, 23.4 \u00b1 10.5 vs 17.8 \u00b1 8.9, P = .039; Incontinence Impact Questionnaire, 25.5 \u00b1 14.5 vs 17.2 \u00b1 12.5, P = .012). For frequency and bother, 48 of 116 (46%) women reported often or always having symptoms during sexual activity, 5 of 34 (15%) when performing daily activities, and 4 of 31 (12%) when exercising, and 70 of 116 (60%) felt least moderate bothersome during sexual activity compared with 2 of 34 (5%) when performing daily activities and 6 of 31 (18%) when exercising.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Implications<\/jats:title><jats:p>Vaginal flatus is prevalent in women with pelvic floor disorders, particularly in those who are younger and sexually active.<\/jats:p><\/jats:sec><jats:sec><jats:title>Strengths &amp; Limitations<\/jats:title><jats:p>The strength of this study is to evaluate the sexual function with validated questionnaires. The lack of data after pelvic floor management is the major limitation.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Among women with pelvic floor disorders, those with vaginal flatus reported poorer sexual function. Routine counseling should be considered for these patients.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.jsxm.2020.12.008","type":"journal-article","created":{"date-parts":[[2021,1,24]],"date-time":"2021-01-24T04:45:21Z","timestamp":1611463521000},"page":"487-492","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":6,"title":["The Prevalence of Vaginal Flatus in Women with Pelvic Floor Disorders and Its Impact on Sexual Function"],"prefix":"10.1093","volume":"18","author":[{"given":"Hui-Hsuan","family":"Lau","sequence":"first","affiliation":[{"name":"Department of Medicine, Mackay Medical College , New Taipei City , Taiwan"},{"name":"Division of Urogynecology, Department of Obstetrics and Gynecology, Mackay Memorial Hospital , Taipei , Taiwan"},{"name":"Mackay Medicine, Nursing and Management College , Taipei , Taiwan"},{"name":"Department of Obstetrics and Gynecology, Hsinchu Mackay Memorial Hospital , Hsinchu , Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsung-Hsien","family":"Su","sequence":"additional","affiliation":[{"name":"Department of Medicine, Mackay Medical College , New Taipei City , Taiwan"},{"name":"Division of Urogynecology, Department of Obstetrics and Gynecology, Mackay Memorial Hospital , Taipei , Taiwan"},{"name":"Mackay Medicine, Nursing and Management College , Taipei , Taiwan"},{"name":"Department of Obstetrics and Gynecology, Hsinchu Mackay Memorial Hospital , Hsinchu , Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ying-Yu","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Medicine, Mackay Medical College , New Taipei City , Taiwan"},{"name":"Division of Urogynecology, Department of Obstetrics and Gynecology, Mackay Memorial Hospital , Taipei , Taiwan"},{"name":"Mackay Medicine, Nursing and Management College , Taipei , Taiwan"},{"name":"Department of Obstetrics and Gynecology, Hsinchu Mackay Memorial Hospital , Hsinchu , Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wen-Chu","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Medicine, Mackay Medical College , New Taipei City , Taiwan"},{"name":"Division of Urogynecology, Department of Obstetrics and Gynecology, Mackay Memorial Hospital , Taipei , Taiwan"},{"name":"Mackay Medicine, Nursing and Management College , Taipei , Taiwan"},{"name":"Department of Obstetrics and Gynecology, Hsinchu Mackay Memorial Hospital , Hsinchu , Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,1,24]]},"reference":[{"key":"2023041407081789500_","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1007\/s00192-016-3140-3","article-title":"An International Urogynecological Association (IUGA)\/International Continence Society (ICS) joint report on the terminology for female anorectal dysfunction","volume":"28","author":"Sultan","year":"2017","journal-title":"Int Urogynecol J"},{"key":"2023041407081789500_","doi-asserted-by":"crossref","first-page":"802648","DOI":"10.5402\/2012\/802648","article-title":"Vaginal flatus and the associated risk factors in Iranian women: a main research article","volume":"2012","author":"Veisi","year":"2012","journal-title":"ISRN Obstet Gynecol"},{"key":"2023041407081789500_","doi-asserted-by":"crossref","first-page":"905","DOI":"10.1007\/s00192-009-0875-0","article-title":"Vaginal noise: prevalence, bother and risk factors in a general female population aged 45\u201385 years","volume":"20","author":"Slieker-Ten Hove","year":"2009","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"key":"2023041407081789500_","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1007\/s00192-003-1086-8","article-title":"Vaginal wind - 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