Anorectal symptoms before and after laparoscopic sacrocolpoperineopexy for pelvic organ prolapse

Introduction and hypothesis

To evaluate changes in anorectal symptoms before and after pelvic organ prolapse (POP) surgery, using laparoscopic sacrocolpoperineopexy.

Methods

Preoperative and postoperative anorectal symptoms, colorectal–anal distress inventory (CRADI) and colorectal–anal impact questionnaire (CRAIQ) scores were prospectively compared from 90 consecutive women undergoing laparoscopic sacrocolpoperineopexy.

Results

After a median follow-up of 30.7?months, laparoscopic surgery significantly worsened CRADI (p?=?0.02) with no effect on CRAIQ (p?=?0.37) scores. Post-operative and de novo straining (27%) and the need for digital assistance (17%) were the most frequent anorectal symptoms. No correlation was found between laparoscopic surgery and anorectal symptoms after multivariate analysis (OR?=?2.4595% confidence interval 0.99–6.05], p?=?0.05).

Conclusion

Anorectal symptoms are not improved after POP surgery by laparoscopic sacrocolpoperineopexy.