Changes in bowel symptoms after different pelvic organ prolapse surgeries among elderly women at the 1‐year follow up
Objective To investigate the prevalence of bowel symptoms in patients with pelvic organ prolapse (POP), to evaluate the changes in bowel symptoms after different POP surgeries, and to identify risk factors for unrelieved bowel symptoms. Methods This was an observational prospective cohort study cond...
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| Veröffentlicht in: | International journal of gynecology and obstetrics 2023-12, Vol.163 (3), p.854-861 |
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| container_title | International journal of gynecology and obstetrics |
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| creator | Wang, Xiaoxiao Zhuang, Xinrong Zhang, Lei Lu, Ye |
| description | Objective
To investigate the prevalence of bowel symptoms in patients with pelvic organ prolapse (POP), to evaluate the changes in bowel symptoms after different POP surgeries, and to identify risk factors for unrelieved bowel symptoms.
Methods
This was an observational prospective cohort study conducted at Peking University First Hospital from 2020 to 2021. Demographic, clinical, and therapeutic data were collected. Participants underwent POP Quantification examination and completed the Pelvic Floor Distress Inventory‐20 questionnaire at baseline and 1 year postoperatively.
Results
The prevalence of bowel symptoms and bothersome bowel symptoms in women with POP was 46.38% and 24.40%, respectively. Surgical correction of prolapse was associated with significant relief in bowel symptoms (P |
| doi_str_mv | 10.1002/ijgo.14966 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2839738770</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2839738770</sourcerecordid><originalsourceid>FETCH-LOGICAL-c2886-5e674373b3aa57e29ee111f40e6c5c812a988717b68b7ca349e108bf7dae564b3</originalsourceid><addsrcrecordid>eNp9kL1OwzAURi0EouVn4QGQR4SUYsdJbI-oglJUqQvMkZPepKmcONgJUTYegWfkSUhJYWS6wz06-nQQuqJkRgnx74pdbmY0kFF0hKZUcOmxgMtjNB2exOO-9CfozLkdIYRySk_RhPEgCmUgp6ibb1WVg8NFhRPTgcauL-vGlA6rrAGLN0WWgYWqwTXo9yLFxuaqwrU1WtUOsGttDrYYDKo0VY5Bb8DqHnemhAqrBjdbwPTr47MHZXFmtDYdbusLdJIp7eDycM_R6-PDy_zJW60Xy_n9ykt9ISIvhIgHjLOEKRVy8CUApTQLCERpmArqKykEpzyJRMJTxQIJlIgk4xsFYRQk7BzdjN5h8FsLronLwqWgtarAtC72BZOcCc7JgN6OaGqNcxayuLZFqWwfUxLvQ8f70PFP6AG-PnjbpITNH_pbdgDoCHSFhv4fVbx8XqxH6TdvFIs6</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2839738770</pqid></control><display><type>article</type><title>Changes in bowel symptoms after different pelvic organ prolapse surgeries among elderly women at the 1‐year follow up</title><source>Wiley Online Library Journals Frontfile Complete</source><creator>Wang, Xiaoxiao ; Zhuang, Xinrong ; Zhang, Lei ; Lu, Ye</creator><creatorcontrib>Wang, Xiaoxiao ; Zhuang, Xinrong ; Zhang, Lei ; Lu, Ye</creatorcontrib><description>Objective
To investigate the prevalence of bowel symptoms in patients with pelvic organ prolapse (POP), to evaluate the changes in bowel symptoms after different POP surgeries, and to identify risk factors for unrelieved bowel symptoms.
Methods
This was an observational prospective cohort study conducted at Peking University First Hospital from 2020 to 2021. Demographic, clinical, and therapeutic data were collected. Participants underwent POP Quantification examination and completed the Pelvic Floor Distress Inventory‐20 questionnaire at baseline and 1 year postoperatively.
Results
The prevalence of bowel symptoms and bothersome bowel symptoms in women with POP was 46.38% and 24.40%, respectively. Surgical correction of prolapse was associated with significant relief in bowel symptoms (P < 0.05). Colpocleisis may relieve bowel symptoms better than reconstructive surgeries (41% vs. 31%, P = 0.048). However, 35% of women had at least one bowel symptom at the 1‐year follow up. A long perineal body (Pb) and levator ani muscle injury were found to be predictors of unrelieved bowel symptoms in patients undergoing colpocleisis and those undergoing reconstructive surgery, respectively (odds ratio [OR] 2.306, 95% confidence interval [CI] 1.112–4.783, P = 0.025 and OR 3.245, 95% CI 1.266–8.317, P = 0.014, respectively), and perineoplasty was a protective factor for women who underwent colpocleisis (OR 0.102, 95% CI 0.025–0.417, P = 0.001)
Conclusion
Women with POP have a high prevalence of bowel symptoms. Although bowel symptoms can be relieved after POP surgeries, one‐third of women still experience bowel symptoms. A long Pb and levator ani muscle injury were associated with unrelieved bowel symptoms, while perineoplasty was a protective factor.
Synopsis
Surgical correction of POP is associated with significant relief of bowel symptoms, especially obstructive; approximately one‐third of patients still had bowel symptoms after 1 year.</description><identifier>ISSN: 0020-7292</identifier><identifier>EISSN: 1879-3479</identifier><identifier>DOI: 10.1002/ijgo.14966</identifier><identifier>PMID: 37465949</identifier><language>eng</language><publisher>United States</publisher><subject>bowel symptoms ; pelvic organ prolapse ; prevalence ; risk factors ; surgery</subject><ispartof>International journal of gynecology and obstetrics, 2023-12, Vol.163 (3), p.854-861</ispartof><rights>2023 International Federation of Gynecology and Obstetrics.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2886-5e674373b3aa57e29ee111f40e6c5c812a988717b68b7ca349e108bf7dae564b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fijgo.14966$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fijgo.14966$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37465949$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Xiaoxiao</creatorcontrib><creatorcontrib>Zhuang, Xinrong</creatorcontrib><creatorcontrib>Zhang, Lei</creatorcontrib><creatorcontrib>Lu, Ye</creatorcontrib><title>Changes in bowel symptoms after different pelvic organ prolapse surgeries among elderly women at the 1‐year follow up</title><title>International journal of gynecology and obstetrics</title><addtitle>Int J Gynaecol Obstet</addtitle><description>Objective
To investigate the prevalence of bowel symptoms in patients with pelvic organ prolapse (POP), to evaluate the changes in bowel symptoms after different POP surgeries, and to identify risk factors for unrelieved bowel symptoms.
Methods
This was an observational prospective cohort study conducted at Peking University First Hospital from 2020 to 2021. Demographic, clinical, and therapeutic data were collected. Participants underwent POP Quantification examination and completed the Pelvic Floor Distress Inventory‐20 questionnaire at baseline and 1 year postoperatively.
Results
The prevalence of bowel symptoms and bothersome bowel symptoms in women with POP was 46.38% and 24.40%, respectively. Surgical correction of prolapse was associated with significant relief in bowel symptoms (P < 0.05). Colpocleisis may relieve bowel symptoms better than reconstructive surgeries (41% vs. 31%, P = 0.048). However, 35% of women had at least one bowel symptom at the 1‐year follow up. A long perineal body (Pb) and levator ani muscle injury were found to be predictors of unrelieved bowel symptoms in patients undergoing colpocleisis and those undergoing reconstructive surgery, respectively (odds ratio [OR] 2.306, 95% confidence interval [CI] 1.112–4.783, P = 0.025 and OR 3.245, 95% CI 1.266–8.317, P = 0.014, respectively), and perineoplasty was a protective factor for women who underwent colpocleisis (OR 0.102, 95% CI 0.025–0.417, P = 0.001)
Conclusion
Women with POP have a high prevalence of bowel symptoms. Although bowel symptoms can be relieved after POP surgeries, one‐third of women still experience bowel symptoms. A long Pb and levator ani muscle injury were associated with unrelieved bowel symptoms, while perineoplasty was a protective factor.
Synopsis
Surgical correction of POP is associated with significant relief of bowel symptoms, especially obstructive; approximately one‐third of patients still had bowel symptoms after 1 year.</description><subject>bowel symptoms</subject><subject>pelvic organ prolapse</subject><subject>prevalence</subject><subject>risk factors</subject><subject>surgery</subject><issn>0020-7292</issn><issn>1879-3479</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kL1OwzAURi0EouVn4QGQR4SUYsdJbI-oglJUqQvMkZPepKmcONgJUTYegWfkSUhJYWS6wz06-nQQuqJkRgnx74pdbmY0kFF0hKZUcOmxgMtjNB2exOO-9CfozLkdIYRySk_RhPEgCmUgp6ibb1WVg8NFhRPTgcauL-vGlA6rrAGLN0WWgYWqwTXo9yLFxuaqwrU1WtUOsGttDrYYDKo0VY5Bb8DqHnemhAqrBjdbwPTr47MHZXFmtDYdbusLdJIp7eDycM_R6-PDy_zJW60Xy_n9ykt9ISIvhIgHjLOEKRVy8CUApTQLCERpmArqKykEpzyJRMJTxQIJlIgk4xsFYRQk7BzdjN5h8FsLronLwqWgtarAtC72BZOcCc7JgN6OaGqNcxayuLZFqWwfUxLvQ8f70PFP6AG-PnjbpITNH_pbdgDoCHSFhv4fVbx8XqxH6TdvFIs6</recordid><startdate>202312</startdate><enddate>202312</enddate><creator>Wang, Xiaoxiao</creator><creator>Zhuang, Xinrong</creator><creator>Zhang, Lei</creator><creator>Lu, Ye</creator><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202312</creationdate><title>Changes in bowel symptoms after different pelvic organ prolapse surgeries among elderly women at the 1‐year follow up</title><author>Wang, Xiaoxiao ; Zhuang, Xinrong ; Zhang, Lei ; Lu, Ye</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2886-5e674373b3aa57e29ee111f40e6c5c812a988717b68b7ca349e108bf7dae564b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>bowel symptoms</topic><topic>pelvic organ prolapse</topic><topic>prevalence</topic><topic>risk factors</topic><topic>surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Xiaoxiao</creatorcontrib><creatorcontrib>Zhuang, Xinrong</creatorcontrib><creatorcontrib>Zhang, Lei</creatorcontrib><creatorcontrib>Lu, Ye</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of gynecology and obstetrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Xiaoxiao</au><au>Zhuang, Xinrong</au><au>Zhang, Lei</au><au>Lu, Ye</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Changes in bowel symptoms after different pelvic organ prolapse surgeries among elderly women at the 1‐year follow up</atitle><jtitle>International journal of gynecology and obstetrics</jtitle><addtitle>Int J Gynaecol Obstet</addtitle><date>2023-12</date><risdate>2023</risdate><volume>163</volume><issue>3</issue><spage>854</spage><epage>861</epage><pages>854-861</pages><issn>0020-7292</issn><eissn>1879-3479</eissn><abstract>Objective
To investigate the prevalence of bowel symptoms in patients with pelvic organ prolapse (POP), to evaluate the changes in bowel symptoms after different POP surgeries, and to identify risk factors for unrelieved bowel symptoms.
Methods
This was an observational prospective cohort study conducted at Peking University First Hospital from 2020 to 2021. Demographic, clinical, and therapeutic data were collected. Participants underwent POP Quantification examination and completed the Pelvic Floor Distress Inventory‐20 questionnaire at baseline and 1 year postoperatively.
Results
The prevalence of bowel symptoms and bothersome bowel symptoms in women with POP was 46.38% and 24.40%, respectively. Surgical correction of prolapse was associated with significant relief in bowel symptoms (P < 0.05). Colpocleisis may relieve bowel symptoms better than reconstructive surgeries (41% vs. 31%, P = 0.048). However, 35% of women had at least one bowel symptom at the 1‐year follow up. A long perineal body (Pb) and levator ani muscle injury were found to be predictors of unrelieved bowel symptoms in patients undergoing colpocleisis and those undergoing reconstructive surgery, respectively (odds ratio [OR] 2.306, 95% confidence interval [CI] 1.112–4.783, P = 0.025 and OR 3.245, 95% CI 1.266–8.317, P = 0.014, respectively), and perineoplasty was a protective factor for women who underwent colpocleisis (OR 0.102, 95% CI 0.025–0.417, P = 0.001)
Conclusion
Women with POP have a high prevalence of bowel symptoms. Although bowel symptoms can be relieved after POP surgeries, one‐third of women still experience bowel symptoms. A long Pb and levator ani muscle injury were associated with unrelieved bowel symptoms, while perineoplasty was a protective factor.
Synopsis
Surgical correction of POP is associated with significant relief of bowel symptoms, especially obstructive; approximately one‐third of patients still had bowel symptoms after 1 year.</abstract><cop>United States</cop><pmid>37465949</pmid><doi>10.1002/ijgo.14966</doi><tpages>8</tpages></addata></record> |
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| ispartof | International journal of gynecology and obstetrics, 2023-12, Vol.163 (3), p.854-861 |
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| language | eng |
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| source | Wiley Online Library Journals Frontfile Complete |
| subjects | bowel symptoms pelvic organ prolapse prevalence risk factors surgery |
| title | Changes in bowel symptoms after different pelvic organ prolapse surgeries among elderly women at the 1‐year follow up |
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