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. 2007 Jul;197(1):78.e1-7.
doi: 10.1016/j.ajog.2007.02.046.

Gastrointestinal complications following abdominal sacrocolpopexy for advanced pelvic organ prolapse

William E Whitehead  1 , Catherine S Bradley, Morton B Brown, Linda Brubaker, Robert E Gutman, R Edward Varner, Anthony G Visco, Anne M Weber, H Zyczynski; Pelvic Floor Network
Affiliations

Gastrointestinal complications following abdominal sacrocolpopexy for advanced pelvic organ prolapse

William E Whitehead et al. Am J Obstet Gynecol. 2007 Jul.

Abstract

Objective: The aims of this secondary analysis of the "Colpopexy And Urinary Reduction Efforts" (CARE) study were to estimate the incidence of postoperative gastrointestinal complications and identify risk factors.

Study design: We prospectively identified gastrointestinal complications and serious adverse events (SAE) for 12 months after sacrocolpopexy. Two surgeons independently reviewed reports of ileus or small bowel obstruction (SBO).

Results: Eighteen percent of 322 women (average age 61.3 years) reported "nausea, emesis, bloating, or ileus" during hospitalization and 9.8% at 6 weeks. Nineteen women (5.9%; CI 3.8%, 9.1%) had a possible ileus or SBO that generated SAE reports: 4 (1.2%, CI 0.5%,3.2%) were reoperated for SBO, 11 (3.4%, CI 1.9%,6.1%) were readmitted for medical management, and 4 had a prolonged initial hospitalization. Older age (P < .001) was a risk factor for ileus or SBO.

Conclusion: One in 20 women experiences significant gastrointestinal morbidity after sacrocolpopexy. This information will aid preoperative counseling.

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