دورية أكاديمية
أعرض في EDS

Changes in bowel symptoms after different pelvic organ prolapse surgeries among elderly women at the 1-year follow up.

التفاصيل البيبلوغرافية
العنوان: Changes in bowel symptoms after different pelvic organ prolapse surgeries among elderly women at the 1-year follow up.
المؤلفون: Wang X; Department of Obstetrics and Gynecology, Peking University First Hospital, Beijing, China., Zhuang X; Department of Obstetrics and Gynecology, Affiliated Hospital of Chengde Medical University, HeBei, China., Zhang L; Department of Obstetrics and Gynecology, Peking University First Hospital, Beijing, China., Lu Y; Department of Obstetrics and Gynecology, Peking University First Hospital, Beijing, China.
المصدر: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics [Int J Gynaecol Obstet] 2023 Dec; Vol. 163 (3), pp. 854-861. Date of Electronic Publication: 2023 Jul 19.
نوع المنشور: Observational Study; Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley Country of Publication: United States NLM ID: 0210174 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-3479 (Electronic) Linking ISSN: 00207292 NLM ISO Abbreviation: Int J Gynaecol Obstet Subsets: MEDLINE
أسماء مطبوعة: Publication: 2017- : Malden, MA : Wiley
Original Publication: [New York, NY] Hoeber Medical Division, Harper & Row, [c1969-
مواضيع طبية MeSH: Lead* , Pelvic Organ Prolapse*/surgery , Pelvic Organ Prolapse*/epidemiology, Pregnancy ; Humans ; Female ; Aged ; Follow-Up Studies ; Prospective Studies ; Colpotomy
مستخلص: 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.
(© 2023 International Federation of Gynecology and Obstetrics.)
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فهرسة مساهمة: Keywords: bowel symptoms; pelvic organ prolapse; prevalence; risk factors; surgery
المشرفين على المادة: 2P299V784P (Lead)
تواريخ الأحداث: Date Created: 20230719 Date Completed: 20231115 Latest Revision: 20231115
رمز التحديث: 20240628
DOI: 10.1002/ijgo.14966
PMID: 37465949
قاعدة البيانات: MEDLINE
الوصف
تدمد:1879-3479
DOI:10.1002/ijgo.14966