Anorectal symptoms before and after laparoscopic sacrocolpoperineopexy for pelvic organ prolapse View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2012-06

AUTHORS

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

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. More... »

PAGES

779-783

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00192-011-1657-z

DOI

http://dx.doi.org/10.1007/s00192-011-1657-z

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1025254997

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/22258718


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52 schema:description 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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