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- Title
Effects of colpocleisis on bowel symptoms among women with severe pelvic organ prolapse.
- Authors
Gutman, Robert E.; Bradley, Catherine S.; Wen Ye; Markland, Alayne D.; Whitehead, William E.; Fitzgerald, Mary P.
- Abstract
Introduction and hypothesis Our objective was to evaluate bowel symptoms after colpocleisis. Methods This was a planned ancillary analysis of a prospective, colpocleisis cohort study of 152 women. Those with baseline and 1-year questionnaires (Colorectal-Anal Distress Inventory (CRADI) and the Colorectal-Anal Impact Questionnaire (CRAIQ)) were included. "Bothersome" CRADI symptoms (score>2("moderately", "quite a bit")) were identified. CRADI and CRAIQ scores were compared, and postoperative symptom resolution and new symptom development were measured. Results Of 121 (80%) subjects with complete data, mean age was 79.2±5.4 years and all had stage 3-4 prolapse. Procedures performed: partial colpocleisis (61%), total colpocleisis (39%), levator myorrhaphy (71%), and perineorrhaphy (97%). Bothersome bowel symptom(s) were present in 77% at baseline (obstructive (17-26%), incontinence (12-35%) and pain/irritation (3-34%)). All bothersome obstructive and most bothersome incontinence symptoms were less prevalent 1 year after surgery. CRADI and CRAIQ scores significantly improved. The majority of bothersome symptoms resolved (50-100%) with low rates of de novo symptoms (0-14%). Conclusions Most bothersome bowel symptoms resolve after colpocleisis, especially obstructive and incontinence symptoms, with low rates of de novo symptoms.
- Subjects
PELVIC organ prolapse; COLON diseases; RECTAL prolapse; PERINEUM surgery; DISEASES in women; COLPOCLEISIS
- Publication
International Urogynecology Journal, 2010, Vol 21, Issue 4, p461
- ISSN
0937-3462
- Publication type
Article
- DOI
10.1007/s00192-009-1062-z