Bowel symptoms in women planning surgery for pelvic organ prolapse

Catherine S. Bradley*, Morton B. Brown, Geoffrey W. Cundiff, Patricia S. Goode, Kimberly S. Kenton, Ingrid E. Nygaard, William E. Whitehead, Patricia A. Wren, Anne M. Weber

*Corresponding author for this work

Research output: Contribution to journalArticle

27 Scopus citations

Abstract

Objective: The objective of the study was to measure associations between bowel symptoms and prolapse. Study design: Baseline data were analyzed from 322 women in the Colpopexy And Urinary Reduction Efforts trial of sacrocolpopexy with or without Burch colposuspension. Women completed the Colorectal-Anal Distress Inventory and Colorectal-Anal Impact Questionnaire and underwent Pelvic Organ Prolapse Quantification. Associations between symptoms and questionnaire scores and Pelvic Organ Prolapse Quantification measures were assessed. Results: Mean age was 61 ± 10 years. Pelvic Organ Prolapse Quantification stages were II (14%), III (67%), and IV (19%). Colorectal-Anal Distress Inventory symptoms did not increase with prolapse stage. Colorectal-Anal Distress Inventory obstructive subscale scores were higher in stage II women (median 29 [interquartile range 8,92] versus 17 [0,33] and 25 [0,38] for stages III and IV, respectively; adjusted P = .01). The few statistically significant correlations between symptoms and vaginal descent were negative and weak (less than 0.2). Conclusion: Bowel symptoms and questionnaire scores do not increase with prolapse stage in women presenting for sacrocolpopexy.

Original languageEnglish (US)
Pages (from-to)1814-1819
Number of pages6
JournalAmerican journal of obstetrics and gynecology
Volume195
Issue number6
DOIs
StatePublished - Dec 1 2006

Keywords

  • Bowel symptoms
  • Constipation
  • Pelvic organ prolapse
  • Questionnaires

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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    Bradley, C. S., Brown, M. B., Cundiff, G. W., Goode, P. S., Kenton, K. S., Nygaard, I. E., Whitehead, W. E., Wren, P. A., & Weber, A. M. (2006). Bowel symptoms in women planning surgery for pelvic organ prolapse. American journal of obstetrics and gynecology, 195(6), 1814-1819. https://doi.org/10.1016/j.ajog.2006.07.008