The effect of posterior colporrhaphy on anorectal function

Dua, Anupreet; Radley, Stephen; Brown, S. R.; Jones, Georgina

doi:10.1007/s00192-011-1603-0

Cited by 12 publications

(5 citation statements)

References 19 publications

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“…Currently, no literature is available that compares these two quality of life tools, making this a unique study. All the questionnaires have been validated and recommended for use as research tools to determine differences in quality of life as secondary post‐operative outcomes in urogynaecological surgeries . Our data confirm that these questionnaires are acceptable for use in the clinical setting and also as research tools.…”

Section: Discussionsupporting

confidence: 68%

Assessing quality of life questionnaires in urogynaecology – tick or type?

O’Sullivan

Babiker

Khashan

et al. 2014

Aust NZ J Obst Gynaeco

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It is recognised that urogynaecological symptoms can have a significant impact on patient quality of life (QoL). Many of the QoL questionnaires are long and provide a burden to patients. The aim of this study was to compare patients' responses to utilising equivalent QoL questionnaires in different formats. The electronic personal assessment questionnaire, ePAQ-PF, was compared to the paper-based Queensland questionnaire. ePAQ-PF appeared to be of greater value but not more burdensome. However, women were more likely to complete the sexual function section using the Queensland questionnaire.

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Section: Discussionsupporting

confidence: 68%

Assessing quality of life questionnaires in urogynaecology – tick or type?

O’Sullivan

Babiker

Khashan

et al. 2014

Aust NZ J Obst Gynaeco

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“…Our findings are consistent with the existing literature demonstrating that PR improves posterior compartment anatomy, and bowel symptoms, most often evacuation, constipation, straining, incomplete emptying, and fecal incontinence [9][10][11][12][13][14][15]. This is in contrast to the findings of one study that showed a worsening of bowel symptoms including splinting, digitation, and incontinence [5].…”

Section: (4)contrasting

confidence: 57%

Measuring the impact of a posterior compartment procedure on symptoms of obstructed defecation and posterior vaginal compartment anatomy

Grimes

Overholser

et al. 2016

Int Urogynecol J

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Introduction and hypothesis We hypothesized that there would be a significant difference in changes in obstructed defecation symptoms and posterior compartment prolapse between women who underwent posterior vaginal wall prolapse repair (PR) and those who did not. Methods This was a two-site prospective cohort study of women undergoing prolapse or incontinence surgery in which a PR was, or was not, performed at the discretion of the surgeon. Women were assessed using validated obstructed defecation questionnaires and standardized examination measures (including POP-Q, measurement of transverse gh, and assessment for a rectovaginal pocket and laxity) prior to pelvic surgery and 12 weeks after surgery. Results Of 68 women who underwent surgery, 43 had PR. The PR group had higher obstructed defecation symptoms and greater posterior compartment prolapse at baseline. At 12 weeks, obstructed defecation symptoms had improved significantly more in the PR group than in the no PR group (all p < 0.03). Anatomic outcomes showed greater improvement in point Bp in the PR group (−3.4 vs. −0.7 no PR, p < 0.001) and resolution of the rectovaginal pocket (86 % vs. 42 %, p = 0.002). There were no significant changes in obstructed defecation symptoms or anatomic outcomes from baseline in the no PR group, while the PR group showed significantly improved obstructed defecation symptoms and anatomic outcomes after repair (p < 0.001 for both). Conclusions Significant improvements in obstructed defecation symptoms and posterior compartment prolapse were seen after PR, but not in women who did not receive PR. Obstructed defecation symptoms, Bp and rectovaginal pocket were the measures best able to demonstrate improvement after PR. We recommend the use of these measures to assess the impact of surgery in the posterior compartment.

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“…Non-treated defects: In the case of a symptomatic low rectocele but all the other compartments are well-suspended, an isolated posterior colporrhaphy [ 33 , 34 ] was performed; A lateral defect of the anterior compartment not treated with the initial SCP was surgically addressed with a laparoscopic paravaginal repair [ 35 , 36 , 37 ]. …”

Section: Methodsmentioning

confidence: 99%

“…In the case of a symptomatic low rectocele but all the other compartments are well-suspended, an isolated posterior colporrhaphy [ 33 , 34 ] was performed;…”

Section: Methodsmentioning

confidence: 99%

Recurrent Pelvic Organ Prolapse after Sacrocolpopexy—A Surgical Challenge

Studer,

Faehnle-Schiegg,

Frey

et al. 2024

JCM

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Background: Repeat sacrocolpopexy (reSCP) for recurrent pelvic organ prolapse (POP) is a rare and complex condition with little understanding of how to manage. Most authors recommend complete reSCP regardless of the underlying cause of the failure. This retrospective cohort study presents our management workflow and how to systematically approach this challenging situation. Methods: From 2017 to 2021, we analyzed all women undergoing surgery for recurrent POP after sacrocolpopexy at our tertiary referral hospital at the department of urogynecology. Preoperatively, all women underwent a structured work-up consisting of answering the validated German female pelvic floor questionnaires, a clinical examination utilizing the POP-Q staging system according to the International Continence Society (ICS), and a pelvic floor ultrasound. The surgical management was based on the preoperative findings and was adapted individually during surgery if indicated according to the estimated underlying problem for recurrence. Results: In total, 377 women underwent a primary laparoscopic sacrocolpopexy. However, ten women presented with a symptomatic recurrent prolapse requiring further surgical intervention. A reSCP was performed in eight women, including two with additional laparoscopic paravaginal repair to correct the displaced mesh placement at initial surgery. A vaginal correction was indicated in two women with an isolated posterior compartment prolapse. The analysis demonstrates that reSCP has a low intraoperative complication rate and high subjective and objective success rates. Conclusions: We could demonstrate that individualized reSCP after initial SCP is a challenging yet feasible and safe treatment option, but there may be suitable alternatives. If women undergo pre- and intraoperative standardized problem-oriented examinations, we can often identify the cause of the recurrent prolapse. Tailored surgery must be subsequently performed.

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The effect of posterior colporrhaphy on anorectal function

Abstract: Bowel evacuation and continence improve significantly 3-6 months following posterior colporrhaphy and are associated with parallel improvement in QoL.

Cited by 12 publications

References 19 publications

Assessing quality of life questionnaires in urogynaecology – tick or type?

Assessing quality of life questionnaires in urogynaecology – tick or type?

Measuring the impact of a posterior compartment procedure on symptoms of obstructed defecation and posterior vaginal compartment anatomy

Recurrent Pelvic Organ Prolapse after Sacrocolpopexy—A Surgical Challenge

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