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Constipation symptoms before and after vaginal and abdominal pelvic reconstructive surgery.

Abstract：

INTRODUCTION AND HYPOTHESIS:This article aims to evaluate how constipation symptoms change after pelvic reconstructive surgery using the Patient Assessment of Constipation Symptom Questionnaire (PAC-SYM). Our primary hypothesis was that constipation would improve after surgery. METHODS:Ninety-four subjects completed the PAC-SYM before and 7 weeks after pelvic reconstructive surgery from 2007 through 2009 inclusive. PAC-SYM scores were compared for the cohort before and 7 weeks post-surgery and based on route of surgery: vaginal or abdominal. RESULTS:Baseline PAC-SYM scores between those undergoing abdominal or vaginal reconstructive surgery were not significantly different (0.76 versus 0.83, respectively; p = 0.586). Subjects in the vaginal surgery group had a significant reduction in PAC-SYM scores, 0.83 to 0.62 (p = 0.049). After abdominal surgery, subjects had an increase in abdominal subscale scores, 0.69 to 1.03 (p = 0.012). CONCLUSIONS:Women undergoing vaginal prolapse surgery may have a short-term improvement in constipation symptoms, while those undergoing abdominal surgery have worsening of abdominal constipation symptoms.

journal_name

Int Urogynecol J

journal_title

International urogynecology journal

authors

Patel M,O'Sullivan DM,LaSala CA

doi

10.1007/s00192-011-1489-x

subject

Has Abstract

pub_date

2011-11-01 00:00:00

pages

1413-9

issue

11

eissn

0937-3462

issn

1433-3023

journal_volume

22

pub_type

杂志文章

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