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International Urogynecology Journal

Published in:

01-06-2012 | Original Article

Anorectal symptoms before and after laparoscopic sacrocolpoperineopexy for pelvic organ prolapse

Authors: Rajeev Ramanah, Marcos Ballester, Elisabeth Chereau, Charles Bui, Roman Rouzier, Emile Daraï

Published in: International Urogynecology Journal | Issue 6/2012

Abstract

Introduction and hypothesis

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).

Conclusion

Anorectal symptoms are not improved after POP surgery by laparoscopic sacrocolpoperineopexy.

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Title: Anorectal symptoms before and after laparoscopic sacrocolpoperineopexy for pelvic organ prolapse
Authors: Rajeev Ramanah
Marcos Ballester
Elisabeth Chereau
Charles Bui
Roman Rouzier
Emile Daraï
Publication date: 01-06-2012
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 6/2012
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-011-1657-z

At a glance: The STEP trials

Springer Medicine

Anorectal symptoms before and after laparoscopic sacrocolpoperineopexy for pelvic organ prolapse

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

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