Bowel symptoms in women 1 year after sacrocolpopexy

Objective. The objective of the study was to evaluate changes in bowel symptoms after sacrocolpopexy. Study Design This was a prospectively planned, ancillary analysis of the Colpopexy and Urinary Reduction Efforts study, a randomized trial of sacrocolpopexy with or without Burch colposuspension in stress continent women with stages II\u96IV prolapse. In addition to sacrocolpopexy (\ub1 Burch), subjects underwent posterior vaginal or perineal procedures (PR) at each surgeon\u92s discretion. The preoperative and 1 year postoperative Colorectal-anal Distress Inventory (CRADI) scores were compared within and between groups using Wilcoxon signed-rank and rank-sum tests, respectively. Results. The sacrocolpopexy + PR group (n =3D 87) had more baseline obstructive colorectal symptoms (higher CRADI and CRADI-obstructive scores: P =3D .04 and < .01, respectively) than the sacrocolpopexy alone group (n =3D 211). CRADI total, obstructive, and pain/irritation scores significantly improved in both groups (all P < .01). Most bothersome symptoms resolved after surgery in both groups. Conclusion: Most bowel symptoms improve in women with moderate to severe pelvic organ prolapse after sacrocolpopexy