Prospective cohort study of bowel function after robotic sacrocolpopexy

Christa Lewis, Charbel Salamon, Jennifer L. Priestley, Emil Gurshumov, Patrick Culligan

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objective: This study aimed to determine bowel function changes 12 months after robotic sacrocolpopexy. Methods: We performed a single-center prospective cohort study evaluating bowel function 12 months after robotic sacrocolpopexy between 2007 and 2011. Bowel function symptoms were measured by the Colorectal-Anal Distress Inventory, Short Form 8 (CRADI-8). Specific impacts on quality of life with regard to bowel function were evaluated using the Colorectal-Anal Impact Questionnaire, Short Form 7 (CRAIQ-7). ''Splinting to defecate'' was defined as any positive response to question 4 of the Pelvic Floor Distress Inventory-20 which reads, ''do you ever have to push on the vagina or around the rectum to have or complete a bowel movement?.'' Lastly patients were grouped according to perineorrhaphy versus no perineorrhaphy and bowel function scores were examined. Results: Of 423 consecutive patients who underwent robotic sacrocolpopexy at our institution, 393 (93%) completed a 12-month follow-up. Mean CRADI-8 scores at baseline and 12 months were 21.1 (20) and 7.3 (11), respectively (P < 0.0001). Mean CRAIQ-7 scores at baseline and 12 months were 11.1 (20) and 2.4 (9), respectively (P < 0.0001). Preoperatively, 152 patients reported a need to splint the vagina or perineum to complete a bowel movement. At 12 months, 70% reported complete resolution of ''splinting.'' Con comitant perineorrhaphy was performed on 87 patients and there were no differences in 12-month CRADI-8 or CRAIQ-7 scores between groups. Conclusions: Robotic sacrocolpopexy was associated with significant improvements in bowel function as measured by CRADI-8 as well as improvements in impact on quality of life as measured by CRAIQ-7.

Original languageEnglish (US)
Pages (from-to)87-89
Number of pages3
JournalFemale Pelvic Medicine and Reconstructive Surgery
Volume20
Issue number2
DOIs
StatePublished - Jan 1 2014
Externally publishedYes

Fingerprint

Robotics
Cohort Studies
Prospective Studies
Equipment and Supplies
Vagina
Quality of Life
Perineum
Pelvic Floor
Splints
Rectum
Surveys and Questionnaires

All Science Journal Classification (ASJC) codes

  • Surgery
  • Obstetrics and Gynecology
  • Urology

Cite this

Lewis, Christa ; Salamon, Charbel ; Priestley, Jennifer L. ; Gurshumov, Emil ; Culligan, Patrick. / Prospective cohort study of bowel function after robotic sacrocolpopexy. In: Female Pelvic Medicine and Reconstructive Surgery. 2014 ; Vol. 20, No. 2. pp. 87-89.
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abstract = "Objective: This study aimed to determine bowel function changes 12 months after robotic sacrocolpopexy. Methods: We performed a single-center prospective cohort study evaluating bowel function 12 months after robotic sacrocolpopexy between 2007 and 2011. Bowel function symptoms were measured by the Colorectal-Anal Distress Inventory, Short Form 8 (CRADI-8). Specific impacts on quality of life with regard to bowel function were evaluated using the Colorectal-Anal Impact Questionnaire, Short Form 7 (CRAIQ-7). ''Splinting to defecate'' was defined as any positive response to question 4 of the Pelvic Floor Distress Inventory-20 which reads, ''do you ever have to push on the vagina or around the rectum to have or complete a bowel movement?.'' Lastly patients were grouped according to perineorrhaphy versus no perineorrhaphy and bowel function scores were examined. Results: Of 423 consecutive patients who underwent robotic sacrocolpopexy at our institution, 393 (93{\%}) completed a 12-month follow-up. Mean CRADI-8 scores at baseline and 12 months were 21.1 (20) and 7.3 (11), respectively (P < 0.0001). Mean CRAIQ-7 scores at baseline and 12 months were 11.1 (20) and 2.4 (9), respectively (P < 0.0001). Preoperatively, 152 patients reported a need to splint the vagina or perineum to complete a bowel movement. At 12 months, 70{\%} reported complete resolution of ''splinting.'' Con comitant perineorrhaphy was performed on 87 patients and there were no differences in 12-month CRADI-8 or CRAIQ-7 scores between groups. Conclusions: Robotic sacrocolpopexy was associated with significant improvements in bowel function as measured by CRADI-8 as well as improvements in impact on quality of life as measured by CRAIQ-7.",
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Prospective cohort study of bowel function after robotic sacrocolpopexy. / Lewis, Christa; Salamon, Charbel; Priestley, Jennifer L.; Gurshumov, Emil; Culligan, Patrick.

In: Female Pelvic Medicine and Reconstructive Surgery, Vol. 20, No. 2, 01.01.2014, p. 87-89.

Research output: Contribution to journalArticle

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