The Effect of Transvaginal Prolapse Surgery on Anorectal Function
Objective Pelvic floor dysfunction can manifest as a spectrum including anorectal dysfunction, vaginal prolapse, and urinary incontinence. Sacrospinous fixation is a procedure performed by gynecologists to treat vaginal prolapse. The present study aims to evaluate the impact of transvaginal prolapse...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2023-03-01
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| Series: | Journal of Coloproctology |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1764196 |
| _version_ | 1797847913196421120 |
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| author | Rachel E. Colbran Andrea M. Warwick Hannah G. Krause Judith T. Goh Christopher J. Gillespie |
| author_facet | Rachel E. Colbran Andrea M. Warwick Hannah G. Krause Judith T. Goh Christopher J. Gillespie |
| author_sort | Rachel E. Colbran |
| collection | DOAJ |
| description | Objective Pelvic floor dysfunction can manifest as a spectrum including anorectal dysfunction, vaginal prolapse, and urinary incontinence. Sacrospinous fixation is a procedure performed by gynecologists to treat vaginal prolapse. The present study aims to evaluate the impact of transvaginal prolapse surgery on anorectal function.
Materials and Methods We conducted a retrospective review of patients undergoing sacrospinous fixation surgery for vaginal prolapse between 2014 to 2020. Those with anorectal dysfunction who had also been evaluated by the colorectal service preoperatively and postoperatively were included for analysis. These patients were assessed with symptom-specific validated questionnaires. The effect of surgery on constipation and fecal incontinence symptoms was analyzed.
Results A total of 22 patients were included for analysis. All patients underwent transvaginal sacrospinous fixation, and 95.4% also had posterior colporrhaphy for vaginal prolapse. There were a statistically significant improvements in the Fecal Incontinence Severity Index (FISI), the St. Mark's Incontinence Score (Vaizey), the embarrassment and lifestyle components of the Fecal Incontinence Quality of Life Score, the Constipation Scoring System, the Obstructed Defecation Score, and components of the Patient Assessment of Constipation Quality of Life score.
Conclusion Transvaginal prolapse surgery leads to a favorable effect on anorectal function, with improvements in both obstructed defecation and fecal incontinence scores in this small series. |
| first_indexed | 2024-04-09T18:18:58Z |
| format | Article |
| id | doaj.art-82867b54fad7469da5edc5e45e4c8a96 |
| institution | Directory Open Access Journal |
| issn | 2237-9363 2317-6423 |
| language | English |
| last_indexed | 2024-04-09T18:18:58Z |
| publishDate | 2023-03-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Journal of Coloproctology |
| spelling | doaj.art-82867b54fad7469da5edc5e45e4c8a962023-04-12T12:31:38ZengThieme Revinter Publicações Ltda.Journal of Coloproctology2237-93632317-64232023-03-01430101802310.1055/s-0043-1764196The Effect of Transvaginal Prolapse Surgery on Anorectal FunctionRachel E. Colbran0Andrea M. Warwick1Hannah G. Krause2Judith T. Goh3Christopher J. Gillespie4Queen Elizabeth II Jubilee Hospital, Coopers Plains, Queensland, AustraliaQueen Elizabeth II Jubilee Hospital, Coopers Plains, Queensland, AustraliaQueen Elizabeth II Jubilee Hospital, Coopers Plains, Queensland, AustraliaQueen Elizabeth II Jubilee Hospital, Coopers Plains, Queensland, AustraliaQueen Elizabeth II Jubilee Hospital, Coopers Plains, Queensland, AustraliaObjective Pelvic floor dysfunction can manifest as a spectrum including anorectal dysfunction, vaginal prolapse, and urinary incontinence. Sacrospinous fixation is a procedure performed by gynecologists to treat vaginal prolapse. The present study aims to evaluate the impact of transvaginal prolapse surgery on anorectal function. Materials and Methods We conducted a retrospective review of patients undergoing sacrospinous fixation surgery for vaginal prolapse between 2014 to 2020. Those with anorectal dysfunction who had also been evaluated by the colorectal service preoperatively and postoperatively were included for analysis. These patients were assessed with symptom-specific validated questionnaires. The effect of surgery on constipation and fecal incontinence symptoms was analyzed. Results A total of 22 patients were included for analysis. All patients underwent transvaginal sacrospinous fixation, and 95.4% also had posterior colporrhaphy for vaginal prolapse. There were a statistically significant improvements in the Fecal Incontinence Severity Index (FISI), the St. Mark's Incontinence Score (Vaizey), the embarrassment and lifestyle components of the Fecal Incontinence Quality of Life Score, the Constipation Scoring System, the Obstructed Defecation Score, and components of the Patient Assessment of Constipation Quality of Life score. Conclusion Transvaginal prolapse surgery leads to a favorable effect on anorectal function, with improvements in both obstructed defecation and fecal incontinence scores in this small series.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1764196obstructed defecationfecal incontinencetransvaginal prolapse surgerypelvic floorsacrospinous fixation |
| spellingShingle | Rachel E. Colbran Andrea M. Warwick Hannah G. Krause Judith T. Goh Christopher J. Gillespie The Effect of Transvaginal Prolapse Surgery on Anorectal Function Journal of Coloproctology obstructed defecation fecal incontinence transvaginal prolapse surgery pelvic floor sacrospinous fixation |
| title | The Effect of Transvaginal Prolapse Surgery on Anorectal Function |
| title_full | The Effect of Transvaginal Prolapse Surgery on Anorectal Function |
| title_fullStr | The Effect of Transvaginal Prolapse Surgery on Anorectal Function |
| title_full_unstemmed | The Effect of Transvaginal Prolapse Surgery on Anorectal Function |
| title_short | The Effect of Transvaginal Prolapse Surgery on Anorectal Function |
| title_sort | effect of transvaginal prolapse surgery on anorectal function |
| topic | obstructed defecation fecal incontinence transvaginal prolapse surgery pelvic floor sacrospinous fixation |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1764196 |
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