title: Anorectal symptoms before and after laparoscopic sacrocolpoperineopexy for pelvic organ prolapse.
abstract: OBJECTIVE
  To evaluate changes in anorectal symptoms before and after pelvic organ prolapse (POP) surgery, using laparoscopic sacrocolpoperineopexy.
  
  
  METHODS
  Preoperative and postoperative anorectal symptoms, colorectal-anal distress inventory (CRADI) and colorectal-anal impact questionnaire (CRAIQ) scores were prospectively compared from 90 consecutive women undergoing laparoscopic sacrocolpoperineopexy.
  
  
  RESULTS
  After a median follow-up of 30.7 months, laparoscopic surgery significantly worsened CRADI (p = 0.02) with no effect on CRAIQ (p = 0.37) scores. Post-operative and de novo straining (27%) and the need for digital assistance (17%) were the most frequent anorectal symptoms. No correlation was found between laparoscopic surgery and anorectal symptoms after multivariate analysis (OR = 2.45[95% confidence interval 0.99-6.05], p = 0.05).
  
  
  CONCLUSIONS
  Anorectal symptoms are not improved after POP surgery by laparoscopic sacrocolpoperineopexy.
authors.affiliation: Obstetrics and Gynecology Department, Tenon Hospital, University Pierre et Marie Curie, Paris, France. rajeev.ramanah@univ-fcomte.fr
authors.forename: Rajeev
authors.initials: R
authors.lastname: Ramanah
authors.forename: Marcos
authors.initials: M
authors.lastname: Ballester
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Chereau
authors.forename: Charles
authors.initials: C
authors.lastname: Bui
authors.forename: Roman
authors.initials: R
authors.lastname: Rouzier
authors.forename: Emile
authors.initials: E
authors.lastname: Daraï
mesh_terms: D001003:Anal Canal / Q000503:physiopathology*; D003672:Defecation / Q000502:physiology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D017773:Pelvic Floor / Q000601:surgery*; D056887:Pelvic Organ Prolapse / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D010502:Perineum / Q000601:surgery; D011184:Postoperative Period; D057234:Preoperative Period; D011446:Prospective Studies; D011788:Quality of Life; D012007:Rectum / Q000503:physiopathology*; D012445:Sacrococcygeal Region / Q000601:surgery; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome; D013520:Urologic Surgical Procedures / Q000379:methods*; D014621:Vagina / Q000601:surgery