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Randomized Controlled Trial
. 2007 Dec;197(6):642.e1-8.
doi: 10.1016/j.ajog.2007.08.023.

Bowel symptoms in women 1 year after sacrocolpopexy

Catherine S Bradley  1 , 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; Pelvic Floor Disorders Network
Affiliations
Randomized Controlled Trial

Bowel symptoms in women 1 year after sacrocolpopexy

Catherine S Bradley et al. Am J Obstet Gynecol. 2007 Dec.

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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