AI Article Synopsis
- The study aimed to assess changes in bowel symptoms following sacrocolpopexy surgery in women with pelvic organ prolapse.
- A comparison was made between two groups: women who underwent sacrocolpopexy alone and those who had additional posterior vaginal or perineal procedures.
- Results showed significant improvement in bowel symptoms for both groups after one year, indicating that sacrocolpopexy effectively alleviates bowel issues associated with pelvic organ prolapse.
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.
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| http://dx.doi.org/10.1016/j.ajog.2007.08.023 | DOI Listing |
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