Neurogastroenterol Motil. 2010 Feb;22(2):150-3, e48. Epub 2009 Sep 17.
Constipation: a potential cause of pelvic floor damage?
Amselem C, Puigdollers A, Azpiroz F, Sala C, Videla S, Fernández-Fraga X, Whorwell P, Malagelada JR.
Although pelvic floor damage is usually attributed to obstetric injury, the authors use data from over 600 women to conclude that constipation appears to be just as important in the development of pelvic floor damage.