Erschienen in:
01.09.2010 | Original Article
Anal incontinence and bowel dysfunction after sacrocolpopexy for vaginal vault prolapse
verfasst von:
Catharina Forsgren, Jan Zetterström, Anju Zhang, Anastasia Iliadou, Annika Lopez, Daniel Altman
Erschienen in:
International Urogynecology Journal
|
Ausgabe 9/2010
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Abstract
Introduction
This study aimed to determine the prevalence of bowel dysfunction and anal incontinence in relation to vaginal vault prolapse surgery in women hysterectomized on benign indications.
Methods
This is a case–control study where women having had sacrocolpopexy (n = 78) were compared with hysterectomized women without sacrocolpopexy (n = 233) using a bowel function questionnaire and the Cleveland Clinic Incontinence Score (CCIS).
Results
Sacrocolpopexy was performed on average 13.7 years (±11.1 SD) after the hysterectomy. Sacrocolpopexy was associated with an increased prevalence of rectal emptying difficulties (p = 0.04), incomplete rectal evacuation (p < 0.001), digitally assisted rectal emptying (p < 0.001), and use of enemas (p = 0.001). There was no overall significant difference in mean CCIS when comparing women having had vaginal vault prolapse surgery (CCIS = 2.78 ± 4.1 SD) with those without (CCIS = 2.1 ± 3.3 SD, p = 0.1)
Conclusions
Abdominal sacrocolpopexy is associated with obstructed defecation but not anal incontinence when compared to hysterectomized controls without vaginal vault prolapse surgery.