Bowel symptoms in women 1 year after sacrocolpopexy

Academic Article

Abstract

  • Objective: The objective of the study was to evaluate changes in bowel symptoms after sacrocolpopexy. Study Design: This was a prospectively planned, ancillary analysis of the Colpopexy and Urinary Reduction Efforts study, a randomized trial of sacrocolpopexy with or without Burch colposuspension in stress continent women with stages II-IV prolapse. In addition to sacrocolpopexy (± Burch), subjects underwent posterior vaginal or perineal procedures (PR) at each surgeon's discretion. The preoperative and 1 year postoperative Colorectal-anal Distress Inventory (CRADI) scores were compared within and between groups using Wilcoxon signed-rank and rank-sum tests, respectively. Results: The sacrocolpopexy + PR group (n = 87) had more baseline obstructive colorectal symptoms (higher CRADI and CRADI-obstructive scores: P = .04 and < .01, respectively) than the sacrocolpopexy alone group (n = 211). CRADI total, obstructive, and pain/irritation scores significantly improved in both groups (all P < .01). Most bothersome symptoms resolved after surgery in both groups. Conclusion: Most bowel symptoms improve in women with moderate to severe pelvic organ prolapse after sacrocolpopexy. © 2007 Mosby, Inc. All rights reserved.
  • Digital Object Identifier (doi)

    Author List

  • Bradley CS; Nygaard IE; Brown MB; Gutman RE; Kenton KS; Whitehead WE; Goode PS; Wren PA; Ghetti C; Weber AM
  • Start Page

  • 642.e1
  • End Page

  • 642.e8
  • Volume

  • 197
  • Issue

  • 6