Journal article
Effects of colpocleisis on bowel symptoms among women with severe pelvic organ prolapse
INTERNATIONAL UROGYNECOLOGY JOURNAL, Vol.21(4), pp.461-466
04/01/2010
DOI: 10.1007/s00192-009-1062-z
PMCID: PMC2896064
PMID: 19960182
Abstract
Our objective was to evaluate bowel symptoms after colpocleisis.
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.
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%).
Most bothersome bowel symptoms resolve after colpocleisis, especially obstructive and incontinence symptoms, with low rates of de novo symptoms.
Details
- Title: Subtitle
- Effects of colpocleisis on bowel symptoms among women with severe pelvic organ prolapse
- Creators
- Robert E. Gutman - Johns Hopkins UniversityCatherine S. Bradley - University of Iowa, EpidemiologyWen Ye - Univ Michigan, Dept Biostat, Ann Arbor, MI 48109 USAAlayne D. Markland - Univ Alabama Birmingham, Dept Geriatr Med, Birmingham, AL USAWilliam E. Whitehead - Univ N Carolina, Dept Med, Chapel Hill, NC USAMary P. Fitzgerald - Loyola University ChicagoPelvic Floor Disorders Network
- Resource Type
- Journal article
- Publication Details
- INTERNATIONAL UROGYNECOLOGY JOURNAL, Vol.21(4), pp.461-466
- DOI
- 10.1007/s00192-009-1062-z
- PMID
- 19960182
- PMCID
- PMC2896064
- NLM abbreviation
- Int Urogynecol J
- ISSN
- 0937-3462
- eISSN
- 1433-3023
- Publisher
- Springer Nature
- Number of pages
- 6
- Grant note
- K24DK068389 / NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Diabetes & Digestive & Kidney Diseases (NIDDK) U10HD041250 / EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) U01 HD41249; U10 HD41268; U10 HD41248; U10 HD41250; U10 HD41261; U10 HD41263; U10 HD41269; U10 HD41267 / National Institute of Child Health and Human Development; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) K24 DK068389 / National Institute of Diabetes, Digestive and Kidney Diseases; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Diabetes & Digestive & Kidney Diseases (NIDDK) U10HD041263 / EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH &HUMAN DEVELOPMENT; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) National Institute of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA
- Language
- English
- Date published
- 04/01/2010
- Academic Unit
- Epidemiology; Obstetrics and Gynecology; Urology
- Record Identifier
- 9983557404602771
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