American Journal of Obstetrics and Gynecology
SGS meeting paperBowel symptoms in women 1 year after sacrocolpopexy
Section snippets
Materials and Methods
This study was a prospectively planned analysis of bowel symptoms in women enrolled in CARE,6, 7 a randomized trial of 322 women without stress incontinence symptoms who were planning sacrocolpopexy for stage II-IV prolapse. The CARE trial was performed through the Pelvic Floor Disorders Network (PFDN), a cooperative agreement network sponsored by the National Institute of Child Health and Human Development. Each PFDN site received institutional review board approval, and all women provided
Results
Of 305 CARE subjects who completed interviews 1 year after index surgery, 7 were excluded because of concurrent procedures for rectal prolapse (rectopexy and/or bowel resection) or fecal incontinence (anal sphincteroplasty), leaving 298 women in this study group. Eighty-seven women underwent sacrocolpopexy with concurrent posterior procedure(s), including posterior colporrhaphy (65), perineorrhaphy (64), and sacrocolpoperineopexy (19); many had more than 1 posterior procedure. Two hundred
Comment
This analysis shows that surgical correction of prolapse by abdominal sacrocolpopexy, performed with or without posterior procedure(s), is associated with statistically and clinically significant reductions in obstructive defecatory and other bowel symptoms, which persist for at least 1 year. Specifically, sacrocolpopexy resulted in a 71-88% reduction of bothersome symptoms of digital assistance to defecate, excessive straining, and a feeling of incomplete evacuation. These findings suggest
Acknowledgment
The authors thank Dr Robert Park, the Chair of the Pelvic Floor Disorders Network Steering Committee, for his contributions to the network.
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Cite this article as: Bradley CS, Nygaard IE, Brown MB, et al. Bowel symptoms in women 1 year after sacrocolpopexy. Am J Obstet Gynecol 2007;197:642.e1-642.e8.
This work was supported in part by Grants U01 HD41249, U10 HD41268, U10 HD41248, U10 HD41250, U10 HD41261, U10 HD41263, U10 HD41269, and U10 HD41267 from the National Institute of Child Health and Human Development.
Reprints not available from the authors.