Mid-term subjective outcomes of defecation function after laparoscopic sacrocolpopexy (LSC) for the treatment of pelvic organ prolapse (POP)
Dr Tokumasa Hayashi (1), Jimmy Nomura (1) , Yugo Sawada, Shino Tokiwa, Yoshihumi Ochi, MIka Nagae, Bob Otieno Achila, Indra Strong, Nutthachote Pattiya
(1) Kameda Medical Center, Kamogawa Chiba, Japan
The aim of the study was to evaluate the subjective outcomes of defecation function after LSC for the treatment of POP.
This was a retrospective study of women with POP who underwent LSC from January 2013 to November 2018. Defecation function was clinically evaluated using Colorectal-Anal Distress Inventory-8 (CRADI-8) before and 1-year, 2-year and 3-year after surgery. The Wilcoxon signed-ranks test were applied with p < 0.05 considered significant.
Defecation functions significantly improved in every aspect of questions in all 8 aspects (question number 7 to 14) from the CRADI-8 questionnaire 1-year after LSC compared with preceding surgery (n=711). The improvement remains significant 2 years (n= 467) and 3 years after LSC (n=291).
There was a significant improvement in defecation function in terms of patient-reported symptoms in POP patients underwent LSC, in each item of all CRADI-8 questionaire. Hence, LSC is a viable surgical option for pelvic organ prolapse without unfavourable effects on defecation function.