Related Experiment Video
Updated: May 25, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse
Published on: October 25, 2024
Anorectal symptoms before and after laparoscopic sacrocolpoperineopexy for pelvic organ prolapse
Rajeev Ramanah1, Marcos Ballester, Elisabeth Chereau
1Obstetrics and Gynecology Department, Tenon Hospital, University Pierre et Marie Curie, Paris, France. rajeev.ramanah@univ-fcomte.fr
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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