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Does Sacral Colpopexy Increase Constipation Compared With Vaginal Prolapse Surgery?

Lauren Simms1, Cynthia Hall2, Katherine Leung2

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Summary
This summary is machine-generated.

Constipation is common in patients with pelvic organ prolapse. Prolapse surgery, including sacral colpopexy, does not significantly worsen constipation symptoms postoperatively.

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Area of Science:

  • Urogynecology
  • Pelvic Floor Disorders
  • Surgical Outcomes

Background:

  • Constipation is a frequent complaint among women experiencing pelvic organ prolapse.
  • Understanding the impact of surgical interventions on bowel function is crucial for patient care.

Purpose of the Study:

  • To compare postoperative constipation rates after abdominal sacral colpopexy versus vaginal prolapse surgery.
  • To evaluate the effect of prolapse repair on Patient Assessment of Constipation Symptoms (PAC-SYM) scores.

Main Methods:

  • Prospective cohort study involving patients undergoing surgery for apical prolapse.
  • Utilized the Patient Assessment of Constipation Symptoms (PAC-SYM) questionnaire preoperatively and at 6 weeks and 6 months postoperatively.
  • Compared changes in PAC-SYM scores between abdominal (sacral colpopexy) and vaginal surgical groups using regression analysis.

Main Results:

  • Preoperative constipation was present in 43% of participants.
  • No significant changes in PAC-SYM scores were observed at 6 weeks or 6 months postoperatively in either surgical group.
  • A higher proportion of patients in the abdominal group reported changes in weekly bowel movements at 6 weeks compared to the vaginal group.

Conclusions:

  • Pelvic organ prolapse surgery does not lead to significant worsening of constipation symptoms.
  • Sacral colpopexy appears to have comparable effects on constipation as vaginal prolapse surgery.
  • Constipation remains a common issue for women with pelvic organ prolapse, irrespective of surgical approach.