Bowel symptoms in women 1 year after sacrocolpopexy

Catherine S. Bradley*, Ingrid E. Nygaard, Morton B. Brown, Robert E. Gutman, Kimberly S. Kenton, William E. Whitehead, Patricia S. Goode, Patricia A. Wren, Chiara Ghetti, Anne M. Weber

*Corresponding author for this work

Research output: Contribution to journalArticle

54 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)642.e1-642.e8
JournalAmerican journal of obstetrics and gynecology
Volume197
Issue number6
DOIs
StatePublished - Dec 2007

Keywords

  • abdominal sacrocolpopexy
  • bowel symptoms
  • constipation
  • pelvic organ prolapse
  • questionnaires

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Fingerprint Dive into the research topics of 'Bowel symptoms in women 1 year after sacrocolpopexy'. Together they form a unique fingerprint.

  • Cite this

    Bradley, C. S., Nygaard, I. E., Brown, M. B., Gutman, R. E., Kenton, K. S., Whitehead, W. E., Goode, P. S., Wren, P. A., Ghetti, C., & Weber, A. M. (2007). Bowel symptoms in women 1 year after sacrocolpopexy. American journal of obstetrics and gynecology, 197(6), 642.e1-642.e8. https://doi.org/10.1016/j.ajog.2007.08.023