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.
Bradley
Catherine S
CS
Department of Obstetrics and Gynecology, University of Iowa Carver College of Medicine, Iowa City, IA, USA.
Nygaard
Ingrid E
IE
Brown
Morton B
MB
Gutman
Robert E
RE
Kenton
Kimberly S
KS
Whitehead
William E
WE
Goode
Patricia S
PS
Wren
Patricia A
PA
Ghetti
Chiara
C
Weber
Anne M
AM
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*