title: The effect of posterior colporrhaphy on anorectal function.
abstract: OBJECTIVE
  The objective of this study is to determine the effect of posterior colporrhaphy on bowel symptoms.
  
  
  METHODS
  Comprehensive pelvic floor data were collected prospectively for 60 women undergoing posterior colporrhaphy. The electronic Personal Assessment Questionnaire-Pelvic Floor (ePAQ-PF) was completed at initial assessment and 3-6 months post-operatively. The bowel dimension of ePAQ-PF computes domain scores for IBS, constipation, evacuation, continence and QoL on a scale of 0-100. Preoperative bowel domain scores were compared with post-operative scores (Student t test).
  
  
  RESULTS
  Significant improvement was seen in bowel evacuation (42%), continence (37%) and bowel-related QoL (61%) scores. IBS score improved by 28%, but this did not reach significance. There was no significant change noted in constipation (0.5%). All individual symptoms relating to bowel evacuation and continence improved significantly other than painful evacuation and incontinence to solid stool.
  
  
  CONCLUSIONS
  Bowel evacuation and continence improve significantly 3-6 months following posterior colporrhaphy and are associated with parallel improvement in QoL.
authors: Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Glossop Road, Sheffield, S10 2SF, UK. duaanupreet@yahoo.com
authors: Anupreet
authors: A
authors: Dua
authors: Stephen
authors: S
authors: Radley
authors: Steven
authors: S
authors: Brown
authors: Swati
authors: S
authors: Jha
authors: Georgina
authors: G
authors: Jones
mesh_terms: D001003:Anal Canal / Q000503:physiopathology*; D003672:Defecation / Q000502:physiology*; D005242:Fecal Incontinence / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D017773:Pelvic Floor / Q000503:physiopathology*; D056887:Pelvic Organ Prolapse / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D011446:Prospective Studies; D012007:Rectum / Q000503:physiopathology*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D013520:Urologic Surgical Procedures / Q000379:methods*; D014621:Vagina / Q000601:surgery*