PROLAPSE SURGERY IMPROVES BOWEL FUNCTION EVEN WHEN NO POSTERIOR REPAIR IS DONE
To evaluate the effect of different surgical procedures on bowel function in women with pelvic organ prolapse (POP).
Adult women enrolled in a prospective POP database between 2008 and 2014 were reviewed. Baseline (BL) data and outcomes at one year after enrollment (1yr) were collected including the Colorectal-Anal Distress Inventory-8 (CRADI). Patients were grouped by having surgery (SGY) within the first year or no surgery (N-SGY) and compared. Sub-analyses of the SGY group were then performed by surgical approach (vaginal (Va) or abdominal (Ab)), with or without concurrent hysterectomy (HYS vs N-HYS), placement of mesh (mesh vs N-mesh), and concurrent posterior repair (POS vs N-POS). Data were analyzed with descriptive statistics, Chi-square tests, Fisher’s exact tests, paired t-tests, and Wilcoxon rank sum tests.
Of 274 prolapse patients, there were 230 in the SGY group and 44 in the N-SGY group. No significant differences in age, race or marital status was found between the SGY and N-SGY groups. 24.8% (57/230) of total surgery patients underwent a concurrent posterior repair (POS); all were done vaginally. For the SGY vs. N-SGY groups, CRADI scores were similar at BL and at 1yr, with intragroup comparisons showing a significant decrease in CRADI for SGY but not N-SGY (p
Women who underwent surgical repair for prolapse had significantly improved CRADI scores regardless of abdominal or vaginal approach, with or without concurrent posterior repair, hysterectomy or mesh use.
Funding: Ministrelli Program for Urology Research and Education