Bowel symptoms in women 1 year after sacrocolpopexy.
OBJECTIVE
The objective of the study was to evaluate changes in bowel symptoms after sacrocolpopexy.


METHODS
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.


CONCLUSIONS
Most bowel symptoms improve in women with moderate to severe pelvic organ prolapse after sacrocolpopexy.
Department of Obstetrics and Gynecology, University of Iowa Carver College of Medicine, Iowa City, IA, USA.
Catherine S
CS
Bradley
Ingrid E
IE
Nygaard
Morton B
MB
Brown
Robert E
RE
Gutman
Kimberly S
KS
Kenton
William E
WE
Whitehead
Patricia S
PS
Goode
Patricia A
PA
Wren
Chiara
C
Ghetti
Anne M
AM
Weber
D000368:Aged; D003672:Defecation; D005260:Female; D006801:Humans; D008875:Middle Aged; D011446:Prospective Studies; D012002:Rectal Diseases / Q000209:etiology*; D013526:Surgical Mesh; D013997:Time Factors; D013519:Urogenital Surgical Procedures / Q000009:adverse effects*; D014596:Uterine Prolapse / Q000601:surgery*