scholarly journals Pelvic organ prolapse and anorectal manometry: a prospective study

2012 ◽  
Vol 26 (1) ◽  
pp. 4
Author(s):  
Kristina Crafoord ◽  
Jan Brynhildsen ◽  
Olof Hallböök ◽  
Preben Kjølhede
Keyword(s):  
Pelvic Organ Prolapse ◽  
Anal Sphincter ◽  
Anorectal Manometry ◽  
Pelvic Organ ◽  
Prolapse Surgery ◽  
Sphincter Pressure ◽  
Pop Surgery ◽  
Anal Sphincter Pressure ◽  
Prospective Longitudinal ◽  
Anatomical Outcomes

The aim of this study was to evaluate associations between anal sphincter pressure and stage of prolapse and bowel and prolapse symptoms among women undergoing prolapse surgery and to determine whether anal sphincter pressure could predict symptomatic and anatomical outcomes of prolapse surgery. Fortytwo women with pelvic organ prolapse (POP) stage 2-3 were included in this prospective longitudinal study. Pre- and postoperative evaluation by means of a symptom questionnaire, clinical examination and anorectal manometry. The vaginal prolapse surgery included at the very least posterior colporrhaphy. Analysis of variance and covariance and logistic regression models were used for statistical analyses. The anal sphincter pressure at rest and squeeze was significantly lower in women with the symptom vaginal protrusion than in the women without the symptom. No associations were found between anal sphincter pressure and the extent or degree of prolapse or subjective and anatomical outcomes of POP surgery. The prolapse symptom vaginal protrusion is associated with a low anal sphincter pressure but the anal sphincter pressure does not seem to predict the outcome of POP surgery, neither regarding symptoms nor anatomy.

scholarly journals Prevalence of anal sphincter defects and association with anal incontinence in women scheduled for pelvic organ prolapse surgery

2020 ◽  
Vol 39 (8) ◽  
pp. 2409-2416
Author(s):  
Seema Mathew ◽  
Rodrigo A. Guzman Rojas ◽  
Maria Ø. Nyhus ◽  
Kjell Å. Salvesen ◽  
Ingrid I. Volløyhaug
Keyword(s):  
Pelvic Organ Prolapse ◽  
Anal Sphincter ◽  
Anal Incontinence ◽  
Pelvic Organ ◽  
Prolapse Surgery ◽  
Pelvic Organ Prolapse Surgery ◽  
Sphincter Defects ◽  
Anal Sphincter Defects

Effect of Propofol on Anal Sphincter Pressure During Anorectal Manometry

2014 ◽  
Vol 58 (4) ◽  
pp. 495-497 ◽  
Author(s):  
Khoa Tran ◽  
Brad Kuo ◽  
Audrius Zibaitis ◽  
Somaletha Bhattacharya ◽  
Charles Cote ◽  
...  
Keyword(s):  
Anal Sphincter ◽  
Anorectal Manometry ◽  
Sphincter Pressure ◽  
Anal Sphincter Pressure

scholarly journals Incidence of postoperative urinary retention after pelvic organ prolapse surgery in Cipto Mangunkusumo National General Hospital

2015 ◽  
Vol 23 (4) ◽  
pp. 218-22
Author(s):  
Tyas Priyatini ◽  
Joan M. Sari
Keyword(s):  
Pelvic Organ Prolapse ◽  
Urinary Retention ◽  
Pelvic Organ ◽  
Prolapse Surgery ◽  
Operative Blood Loss ◽  
Postoperative Urinary Retention ◽  
Pelvic Organ Prolapse Surgery ◽  
Pelvic Prolapse ◽  
Pop Surgery ◽  
Duration Of Surgery

Background: After vaginal delivery, every woman has 50% risk for pelvic organ prolapse (POP). The lifetime risk for a woman to undergo surgical treatment for POP was 11%, with the incidence of postoperative urinary retention (POUR) after POP surgery of 2%-43%. The aim of our study is to identify the incidence of POUR after POP surgery in Cipto Mangunkusumo National General Hospital (RSCM) and the risk factors.Methods: Medical records of 124 women undergoing pelvic prolapse surgery between 2010 and 2013 were analyzed. The incidence of POUR and the risk factors were identified by performing univariate and bivariate analysis using chi-Square test and its alternative with using SPSS 20.0. Independent variables include age, body mass index (BMI), parity, degree of prolapse, type of surgery technique, type of anesthesia, type of suture material, amount of intra-operative blood loss, and duration of surgery. POUR defined as urine residual volume more than 100cc.Results: The incidence of urinary retention after pelvic prolapse surgery was 29%. There was no correlation between age, BMI, parity, degree of prolapse, type of surgery technique, anesthesia, suture, intra-operative blood loss, duration of surgery, and the occurrence of urinary retention after pelvic organ prolapse surgery.Conclusion: The incidence of urinary retention after pelvic organ prolapse surgery was 29%. There was no correlation between the risk factors and the occurrence of urinary retention after pelvic organ prolapse surgery.

scholarly journals Pelvic organ prolapse surgery and health-related quality of life: a follow-up study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tadesse Belayneh ◽  
Abebaw Gebeyehu ◽  
Mulat Adefris ◽  
Guri Rortveit ◽  
Janne Lillelid Gjerde ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Prolapse Surgery ◽  
Stage Iii ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Abstract Background Symptomatic prolapse impairs quality of life. Health-related quality of life (HRQoL) is considered an important outcome of pelvic organ prolapse (POP) surgery. However, it is rarely reported, and measures are inadequately used. Thus, studies reporting patient-reported surgical outcomes in low-income contexts are needed. This study aims to evaluate the effect of prolapse surgery on patient HRQoL and determine the predictive factors for change in HRQoL. Methods A total of 215 patients who had prolapse stage III or IV were enrolled. Patients underwent vaginal native tissue repair, and their HRQoL was evaluated at baseline, 3 and 6 months postoperatively. Effect of surgery on subjective outcomes were measured using validated Prolapse Quality of Life (P-QoL-20), Prolapse Symptom Score (POP-SS), Body Image in Prolapse (BIPOP), Patient Health Questionnaire (PHQ-9), and Patient Global Index of Improvement (PGI-I) tools. A linear mixed-effect model was used to compare pre- and postoperative P-QoL scores and investigate potential predictors of the changes in P-QoL scores. Results In total, 193 (89.7%) patients were eligible for analysis at 3 months, and 185 (86.0%) at 6 months. Participant’s mean age was 49.3 ± 9.4 years. The majority of patients had prolapse stage III (81.9%) and underwent vaginal hysterectomy (55.3%). All domains of P-QoL improved significantly after surgery. Altogether more than 72% of patients reported clinically meaningful improvement in condition-specific quality of life measured with P-QoL-20 at 6 months. An improvement in POP-SS, BIPOP, and the PHQ-9 scores were also observed during both follow-up assessments. At 6 months after surgery, only 2.7% of patients reported the presence of bulge symptoms. A total of 97.8% of patients had reported improvement in comparison to the preoperative state, according to PGI-I. The change in P-QoL score after surgery was associated with the change in POP-SS, PHQ, BIPOP scores and marital status (p < 0.001). However, age, type of surgery, and prolapse stage were not associated with the improvement of P-QoL scores. Conclusions Surgical repair for prolapse effectively improves patient’s HRQoL, and patient satisfaction is high. The result could be useful for patient counselling on the expected HRQoL outcomes of surgical treatment. Surgical service should be accessible for patients suffering from POP to improve HRQoL.

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