Changes in bowel symptoms 1 year after rectocele repair.

Abstract:

OBJECTIVE:We sought to evaluate changes in bowel symptoms after rectocele repair and identify risk factors for persistent symptoms. STUDY DESIGN:We conducted ancillary analysis of a randomized surgical trial for rectocele repair. Subjects underwent examinations and completed questionnaires for bowel symptoms at baseline and 12 months postoperatively. Outcomes included resolution, persistence, or de novo bowel symptoms. We used multiple logistic regression to identify risk factors for bowel symptom persistence. RESULTS:A total of 160 women enrolled: 139 had baseline bowel symptoms and 85% had 12-month data. The prevalence of bowel symptoms decreased after rectocele repair (56% vs 23% splinting, 74% vs 37% straining, 85% vs 19% incomplete evacuation, 66% vs 14% obstructive defecation; P < .001 for all). On multiple logistic regression, a longer history of splinting was a risk factor for persistent postoperative splinting (adjusted odds ratio, 2.25; 95% confidence interval, 1.02-4.93). CONCLUSION:Bowel symptoms may improve after rectocele repair, but almost half of women will have persistent symptoms.

journal_name

Am J Obstet Gynecol

authors

Sung VW,Rardin CR,Raker CA,LaSala CA,Myers DL

doi

10.1016/j.ajog.2012.06.054

subject

Has Abstract

pub_date

2012-11-01 00:00:00

pages

423.e1-5

issue

5

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(12)00668-0

journal_volume

207

pub_type

杂志文章,随机对照试验
  • Carbon dioxide laser energy disperses human papillomavirus deoxyribonucleic acid onto treatment fields.

    abstract::The possibility of dispersing viral deoxyribonucleic acid during carbon dioxide laser treatment of human papillomavirus-containing genital infections has been investigated with a commercially available dot blot hybridization technique. The viral ribonucleic acid probes were specific for groups of human papillomavirus ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(90)90705-c

    authors: Ferenczy A,Bergeron C,Richart RM

    更新日期:1990-10-01 00:00:00

  • Infertility among daughters either exposed or not exposed to diethylstilbestrol.

    abstract::Infertility was examined among 343 diethylstilbestrol-exposed and 303 unexposed daughters whose mothers participated in an evaluation of diethylstilbestrol use during pregnancy 35 years ago. Of the married individuals who were not using contraception and who were actively trying to conceive, a greater proportion of di...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(88)90012-9

    authors: Senekjian EK,Potkul RK,Frey K,Herbst AL

    更新日期:1988-03-01 00:00:00

  • Colposcopic appearance of cervical intraepithelial neoplasia is age dependent.

    abstract:OBJECTIVE:We investigated to determine whether colposcopic, histologic, and virologic parameters of cervical intraepithelial neoplasia are influenced by a patient's age. STUDY DESIGN:A cohort of 967 women with a mean age of 37.1 years underwent screening for detection of cervical intraepithelial neoplasia by colposcop...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(98)70151-6

    authors: Zahm DM,Nindl I,Greinke C,Hoyer H,Schneider A

    更新日期:1998-11-01 00:00:00

  • Porencephalic cyst: a complication of fetal intravascular transfusion.

    abstract::A case of unilateral porencephalic cyst as a result of intravascular intrauterine transfusion is reported. Although other factors may have contributed, fetal bradycardia and relative hyperviscosity as a result of increased fetal hematocrit value were considered to be related to this event. Because some authors recomme...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(91)90227-i

    authors: Dildy GA 3rd,Smith LG Jr,Moise KJ Jr,Cano LE,Hesketh DE

    更新日期:1991-07-01 00:00:00

  • Oral contraceptive discontinuation: do side effects matter?

    abstract:OBJECTIVE:The purpose of this study was to assess self-reported side effects in women after they received the oral contraceptive (OC) and to compare discontinuation rates, according to presence or absence of side effects. STUDY DESIGN:The study comprised 1716 women aged <25 years who initiated the OC at 3 publicly fun...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.ajog.2006.12.015

    authors: Westhoff CL,Heartwell S,Edwards S,Zieman M,Stuart G,Cwiak C,Davis A,Robilotto T,Cushman L,Kalmuss D

    更新日期:2007-04-01 00:00:00

  • First-trimester nuchal translucency, nasal bones, and trisomy 21 in selected and unselected populations.

    abstract:OBJECTIVE:The purpose of this study was to assess the role of fetal nasal bones evaluation in first-trimester screening for trisomy 21 in selected and unselected pregnancies. STUDY DESIGN:Visualization of the nasal bones was attempted in women attending for routine nuchal translucency screening (unselected population,...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2005.09.008

    authors: Prefumo F,Sairam S,Bhide A,Thilaganathan B

    更新日期:2006-03-01 00:00:00

  • Newborn complications after intrapartum asphyxia with metabolic acidosis in the term fetus.

    abstract:OBJECTIVES:Our purpose was to determine the newborn complications after respiratory or metabolic acidosis at delivery and to demonstrate the characteristics of an asphyxial insult predictive of these complications. STUDY DESIGN:Fifty-nine term fetuses with metabolic acidosis were matched with 59 fetuses with normal bl...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(94)70101-6

    authors: Low JA,Panagiotopoulos C,Derrick EJ

    更新日期:1994-04-01 00:00:00

  • Role of amnioinfusion in the management of premature rupture of the membranes at

    abstract:OBJECTIVE:We sought to evaluate whether serial amnioinfusions for persistent oligohydramnios can affect the perinatal and long-term outcomes in extreme cases of preterm premature rupture of membranes. STUDY DESIGN:All singleton pregnancies with preterm premature rupture of membranes at <26 weeks' gestation and lasting...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1067/mob.2000.108873

    authors: Locatelli A,Vergani P,Di Pirro G,Doria V,Biffi A,Ghidini A

    更新日期:2000-10-01 00:00:00

  • Interferon-gamma expression is an independent prognostic factor in ovarian cancer.

    abstract:BACKGROUND:Epithelial ovarian cancer prognosis is improved by the presence of intratumoral CD3 + T cells, which are known to produce interferon-gamma. We therefore speculated that interferon-gamma expression in ovarian cancer-infiltrating T-lymphocytes might cause better prognosis. PATIENTS AND METHODS:Reverse transcr...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2004.05.007

    authors: Marth C,Fiegl H,Zeimet AG,Müller-Holzner E,Deibl M,Doppler W,Daxenbichler G

    更新日期:2004-11-01 00:00:00

  • Decrease of vascular angiotensin sensitivity by L-dopa during human pregnancy.

    abstract::In 27 pregnant subjects (21 treated women and six control subjects), the effect of L-dopa (500 to 1,000 mg orally) on vascular sensitivity to angiotensin II amide (Hypertensin, Ciba) was examined in 16 of these women, 1,000 mg of L-dopa resulted in a significant decrease in vascular responsiveness to angiotensin, i.e....

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(81)90202-7

    authors: Kaulhausen H,Oney T,Feldmann R,Leyendecker G

    更新日期:1981-07-15 00:00:00

  • Hormonal studies in pregnancy. II. Unconjugated estriol in maternal peripheral vein, cord vein, and cord artery serum at delivery in pregnancies complicated by intrauterine growth retardation.

    abstract::The levels of unconjugated estriol in maternal vein serum during labor, cord artery serum, and cord vein serum were measured in normal pregnancy and in pregnancy complicated by intrauterine growth retardation. The mean level of unconjugated estriol in maternal vein serum was significantly lower in the intrauterine gro...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Gorwill RH,Sarda IR

    更新日期:1977-01-01 00:00:00

  • Pulsed Doppler flow-velocity waveforms in the prediction of fetal hematocrit of the severely isoimmunized pregnancy.

    abstract::We previously reported a significant relationship between the hematocrit levels of anemic fetuses and information derived from ultrasonographic and Doppler flow-velocity waveforms. In this study we prospectively tested two formulas for the prediction of hematocrit values, by use of gestational age, presence or absence...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(89)90516-4

    authors: Copel JA,Grannum PA,Green JJ,Belanger K,Hobbins JC

    更新日期:1989-08-01 00:00:00

  • External funding of obstetrical publications: citation significance and trends over 2 decades.

    abstract:OBJECTIVE:The objective of the study was to identify the external funding status of the most frequently cited obstetrical publications (citation classics) and to assess trends in funded vs nonfunded manuscripts as well as each publication's type of external funding. STUDY DESIGN:For the first objective, the citation c...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2013.05.021

    authors: Vintzileos WS,Ananth CV,Vintzileos AM

    更新日期:2013-08-01 00:00:00

  • Effects of hormone replacement therapy on the mammary gland of surgically postmenopausal cynomolgus macaques.

    abstract:OBJECTIVE:Our purpose was to define the proliferative response and receptor status in the mammary glands of surgically postmenopausal macaques given hormone replacement therapy, equivalent for monkeys to that given women. STUDY DESIGN:Surgically postmenopausal adult female cynomolgus macaques (Macaca fascicularis) wer...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(96)70379-4

    authors: Cline JM,Soderqvist G,von Schoultz E,Skoog L,von Schoultz B

    更新日期:1996-01-01 00:00:00

  • Accuracy of salivary estriol testing compared to traditional risk factor assessment in predicting preterm birth.

    abstract:OBJECTIVE:The objective was to compare the predictive accuracy (percentage of correct vs incorrect predictions) of salivary estriol levels (SalEst; Biex, Inc, Dublin, Calif) with that of the modified Creasy score for predicting preterm labor followed by preterm delivery. STUDY DESIGN:A triple-blinded prospective trial...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1016/s0002-9378(99)70703-9

    authors: Heine RP,McGregor JA,Dullien VK

    更新日期:1999-01-01 00:00:00

  • Proteinuria and its assessment in normal and hypertensive pregnancy.

    abstract:OBJECTIVES:The purposes of this study were (1) to determine 24-hour urinary protein excretion rates in normal human pregnancy and (2) to assess the reliability of assessment of proteinuria by dipstick measurement. STUDY DESIGN:At 17 to 20 and 33 to 36 weeks of pregnancy, 174 normal volunteers collected a 24-hour urine...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(11)91578-6

    authors: Kuo VS,Koumantakis G,Gallery ED

    更新日期:1992-09-01 00:00:00

  • Impact of treatment for fecal incontinence on constipation symptoms.

    abstract:OBJECTIVE:Defecatory symptoms, such as a sense of incomplete emptying and straining with bowel movements, are paradoxically present in women with fecal incontinence. Treatments for fecal incontinence, such as loperamide and biofeedback, can worsen or improve defecatory symptoms, respectively. The primary aim of this st...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.ajog.2019.11.1256

    authors: Andy UU,Jelovsek JE,Carper B,Meyer I,Dyer KY,Rogers RG,Mazloomdoost D,Korbly NB,Sassani JC,Gantz MG,Pelvic Floor Disorders Network.

    更新日期:2020-06-01 00:00:00

  • Neonatal mortality by attempted route of delivery in early preterm birth.

    abstract:OBJECTIVE:We sought to study neonatal outcomes in early preterm births by delivery route. STUDY DESIGN:Delivery precursors were analyzed in 4352 singleton deliveries, 24 0/7 to 31 6/7 weeks' gestation. In a subset (n = 2906) eligible for a trial of labor, neonatal mortality in attempted vaginal delivery (VD) was compa...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2012.06.023

    authors: Reddy UM,Zhang J,Sun L,Chen Z,Raju TN,Laughon SK

    更新日期:2012-08-01 00:00:00

  • Chronic fungal vaginitis: the value of cultures.

    abstract:OBJECTIVE:Our purpose was to examine the importance of fungal cultures in evaluating patients with symptoms of chronic vaginitis by assessing the relative contribution of various yeast species and by comparing infections caused by Candida albicans with those caused by other species. STUDY DESIGN:A prospective observat...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(95)90347-x

    authors: Nyirjesy P,Seeney SM,Grody MH,Jordan CA,Buckley HR

    更新日期:1995-09-01 00:00:00

  • Sexually transmissible diseases.

    abstract::There is a widespread recrudescence of venereal disease. The possible reasons for this are discussed. Each disease is then considered from the viewpoints of clinical course, diagnosis, and treatment. Treatment failures are discussed in detail, immunity is covered, and recommendations for the future conclude the presen...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(76)90905-4

    authors: Evans TN

    更新日期:1976-05-01 00:00:00

  • Endometrial adenocarcinoma estrogen receptor content: association of clinicopathologic features with immunohistochemical analysis compared with standard biochemical methods.

    abstract::Endometrial adenocarcinomas from 96 patients were studied for their biochemical estrogen receptor content as well as immunohistochemical localization of estrogen receptor. A well-characterized specific monoclonal antihuman estrogen receptor antibody (H222 sp gamma) as amplified by peroxidase/antiperoxidase techniques ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(87)80090-x

    authors: Mutch DG,Soper JT,Budwit-Novotny DA,Cox EB,Creasman WT,McCarty KS Sr,McCarty KS Jr

    更新日期:1987-10-01 00:00:00

  • Removal of an intra-abdominal intrauterine contraceptive device through a peritoneoscope with the use of intraoperative fluoroscopy to aid localization.

    abstract::This letter was written in response to the article by P.G. Brooks et al ( 113: 104, 1972) in which the use of the peritoneoscope for removal of extruded intrauterine contraceptive devices (IUCD) with fluoroscopy to aid localization was recommended. In recent experiences of the authors of this letter and of R.R. MacD...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(72)90884-8

    authors: Mountrose UE,Whitehouse WL

    更新日期:1972-12-15 00:00:00

  • Reduced progression of endometrial hyperplasia with oral mTOR inhibition in the Pten heterozygote murine model.

    abstract:OBJECTIVE:Phosphatase and tensin homolog (PTEN) mutations are associated with human endometrial cancers, and PTEN heterozygote(+/-) mice have a high rate of endometrial neoplasia. The objective of this study was to evaluate an oral mTOR inhibitor (mTOR-I) on the reduction of endometrial hyperplasia in an animal model. ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2006.10.872

    authors: Milam MR,Celestino J,Wu W,Broaddus RR,Schmeler KM,Slomovitz BM,Soliman PT,Gershenson DM,Wang H,Ellenson LH,Lu KH

    更新日期:2007-03-01 00:00:00

  • Can cervical cancer be prevented by a see, screen, and treat program? A pilot study.

    abstract:OBJECTIVE:Our purpose was to determine the feasibility of providing a cervical screening facility to the underprivileged communities through an educational program and a mobile clinic in which cytologic smears could be taken, screened immediately, and, when appropriate, the patients treated on site with minimal delay. ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(96)70327-7

    authors: Megevand E,Van Wyk W,Knight B,Bloch B

    更新日期:1996-03-01 00:00:00

  • Prostaglandin F2 alpha output by amnion-chorion-decidua: relationship with labor and prostaglandin E2 concentration at the amniotic surface.

    abstract:OBJECTIVE:Our purpose was to evaluate prostaglandin F2 alpha output at fetal membrane surfaces relative to labor and to assess amniotic prostaglandin E2 concentration changes on prostaglandin F2 alpha output. STUDY DESIGN:Intact and separated fetal membranes from 10 elective cesarean sections and nine vaginal deliveri...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(95)90190-6

    authors: Kredentser JV,Embree JE,McCoshen JA

    更新日期:1995-07-01 00:00:00

  • Predicting pulmonary hypoplasia with 2- or 3-dimensional ultrasonography in complicated pregnancies.

    abstract:OBJECTIVE:The aim of this study was to compare 3-dimensional (3D) lung volume measurements with 2-dimensional (2D) biometric parameters in predicting pulmonary hypoplasia in complicated pregnancies. STUDY DESIGN:In this prospective study, 1-4 scans of the fetal lungs were obtained in 33 pregnancies complicated by vari...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2007.06.005

    authors: Gerards FA,Twisk JW,Fetter WP,Wijnaendts LC,van Vugt JM

    更新日期:2008-01-01 00:00:00

  • Randomized controlled trial of prenatal zinc supplementation and the development of fetal heart rate.

    abstract:OBJECTIVES:This study was undertaken to evaluate whether prenatal zinc supplementation affects maturation of fetal cardiac patterns. STUDY DESIGN:A randomized double-blind controlled trial among 242 low-income Peruvian women was performed. Beginning at 10 to 16 weeks' gestation, women received supplements containing 6...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/j.ajog.2003.09.072

    authors: Merialdi M,Caulfield LE,Zavaleta N,Figueroa A,Dominici F,Dipietro JA

    更新日期:2004-04-01 00:00:00

  • Detection of triploid, molar, and vanishing twin pregnancies by a single-nucleotide polymorphism-based noninvasive prenatal test.

    abstract:OBJECTIVE:We sought to determine the ability of single-nucleotide polymorphism-based noninvasive prenatal testing (NIPT) to identify triploid, unrecognized twin, and vanishing twin pregnancies. STUDY DESIGN:The study included 30,795 consecutive reported clinical cases received for NIPT for fetal whole-chromosome aneup...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2014.10.012

    authors: Curnow KJ,Wilkins-Haug L,Ryan A,Kırkızlar E,Stosic M,Hall MP,Sigurjonsson S,Demko Z,Rabinowitz M,Gross SJ

    更新日期:2015-01-01 00:00:00

  • Timing of treatment initiation for mild gestational diabetes mellitus and perinatal outcomes.

    abstract:OBJECTIVE:The purpose of this study was to examine the association between gestational age (GA) at the time of treatment initiation for gestational diabetes mellitus (GDM) and maternal and perinatal outcomes. STUDY DESIGN:We conducted a secondary analysis of a multicenter randomized treatment trial of mild GDM in whic...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.ajog.2015.06.022

    authors: Palatnik A,Mele L,Landon MB,Reddy UM,Ramin SM,Carpenter MW,Wapner RJ,Varner MW,Rouse DJ,Thorp JM Jr,Sciscione A,Catalano P,Saade GR,Caritis SN,Sorokin Y,Eunice Kennedy Shriver National Institute of Child Health and Human De

    更新日期:2015-10-01 00:00:00

  • The relaxation responses to corticotropin-releasing factor in rat aorta are endothelium dependent and gestationally regulated.

    abstract:OBJECTIVE:Our purpose was to examine the hypothesis that the relaxant response to corticotropin-releasing factor is endothelium dependent and changes during pregnancy. STUDY DESIGN:Relaxant responses to cumulative concentrations of corticotropin-releasing hormone were measured in rings of thoracic aorta, precontracted...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(97)80042-7

    authors: Jain V,Vedernikov YP,Saade GR,Chwalisz K,Garfield RE

    更新日期:1997-01-01 00:00:00