Postoperative bowel function, symptoms, and habits in women after vaginal reconstructive surgery
Open accessAbstract
Introduction and hypothesis The objective was to characterize postoperative bowel symptoms in women undergoing vaginal prolapse reconstructive surgery randomized to preoperative bowel preparation vs a regular diet.Methods Subjects (N = 121) completed two bowel diaries: a 7-day bowel diary immediately before surgery and a 14-day diary postoperatively. Self-reported bowel diary data and symptoms included the time to first bowel movement (BM), daily number of BMs, Bristol Stool Form Scale score, pain, and urgency associated with BM, episodes of fecal incontinence, and use of laxatives. Antiemetic use was abstracted from medical records. Outcomes of groups were compared using Chi-squared/Fisher's exact test or Student's t test as appropriate.Results Mean time to first postoperative BM was similar in the bowel preparation (n = 60) and control groups (n = 61), 81.2 ± 28.9 vs 78.6 ± 28.2 h, p = 0.85. With the first BM, there were no significant differences between bowel preparation and control groups regarding pain (17.2 vs 27.9 %, p = 0.17), fecal urgency with defecation (56.9 vs 52.5 %, p = 0.63), fecal incontinence (14.0 vs 15.0 %, p = 0.88) and >1 use of laxatives (93.3 vs 96.7 % p = 0.44) respectively. Antiemetic use was similar in both groups (48.3 vs 55.7 % respectively, p = 0.42).Conclusions There were no differences in the return of bowel function and other bowel symptoms postoperatively between the randomized groups. Lack of bowel preparation does not have an impact on the risk of painful defecation postoperatively. This information may be used to inform patients regarding expectations for bowel function after vaginal reconstructive surgery.
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Cites
Stool form scale as a useful guide to intestinal transit time
Lewis, S. J., & Heaton, K. W. (1997) · Scandinavian Journal of Gastroenterology · doi:10.3109/00365529709011203 · Cited by 3,244 · see citing works
The functional gastrointestinal disorders and the Rome III process
Drossman, D. A. (2006) · Gastroenterology · doi:10.1053/j.gastro.2006.03.008 · Cited by 2,416 · see citing works
Prevalence and Trends of Symptomatic Pelvic Floor Disorders in U.S. Women
Wu, J. M., Vaughan, C. P., Goode, P. S., Redden, D. T., Burgio, K. L., Richter, H. E., & Markland, A. D. (2013) · Obstetrics and Gynecology · doi:10.1097/aog.0000000000000057 · Cited by 947 · see citing works
Self-citationMechanical bowel preparation for elective colorectal surgery
Güenaga, K. F., Matos, D., & Wille-Jørgensen, P. (2011) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd001544.pub4 · Cited by 925 · see citing works
Epidemiology and outcome assessment of pelvic organ prolapse
Barber, M. D., & Maher, C. (2013) · International Urogynecology Journal · doi:10.1007/s00192-013-2169-9 · Cited by 767 · see citing works
Pelvic organ prolapse surgery in the United States, 1997
Brown, J. S., Waetjen, L. E., Subak, L. L., Thom, D. H., Eeden, S. K. V. D., & Vittinghoff, E. (2002) · American Journal of Obstetrics and Gynecology · doi:10.1067/mob.2002.121897 · Cited by 245 · see citing works
Uterosacral Ligament Vault Suspension
Silva, W. A., Pauls, R. N., Segal, J. L., Rooney, C. M., Kleeman, S. D., & Karram, M. M. (2006) · Obstetrics and Gynecology · doi:10.1097/01.aog.0000224610.83158.23 · Cited by 142 · see citing works
Prevalence and degree of bother from pelvic floor disorders in obese women
Whitcomb, E. L., Lukacz, E. S., Lawrence, J. M., Nager, C. W., & Luber, K. M. (2008) · International Urogynecology Journal · doi:10.1007/s00192-008-0765-x · Cited by 100 · see citing works
Muzii, L., Bellati, F., Zullo, M. A., Manci, N., Angioli, R., & Panici, P. B. (2006) · Fertility and Sterility · doi:10.1016/j.fertnstert.2005.08.049 · Cited by 74 · see citing works
Procedures for urinary incontinence in the United States, 1979-1997
Boyles, S. H., Weber, A. M., & Meyn, L. A. (2003) · American Journal of Obstetrics and Gynecology · doi:10.1067/mob.2003.376 · Cited by 72 · see citing works
Bowel symptoms in women 1 year after sacrocolpopexy
Bradley, C. S., Nygaard, I., Brown, M. B., Gutman, R. E., Kenton, K. S., Whitehead, W. E., Goode, P. S., Wren, P. A., Ghetti, C. C., & Weber, A. M. (2007) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2007.08.023 · Cited by 67 · see citing works
Grimes, C. L., Lukacz, E. S., Gantz, M. G., Warren, L. K., Brubaker, L. T., Zyczynski, H. M., Richter, H. E., Jelovsek, J. E., Cundiff, G. W., Fine, P. M., et al. (2014) · Urogynecology · doi:10.1097/spv.0000000000000085 · Cited by 49 · see citing works
Self-citationMaher, C., Baeßler, K., Barber, M. D., Cheon, C., Deitz, V., de Tayrac, R., Gutman, R. E., Sentilhes, L., & Karram, M. M. (2013) · Cited by 47 · see citing works
Yang, L. C., Arden, D., Lee, T. T. M., Mansuria, S., Broach, A., D’Ambrosio, L., & Guido, R. S. (2010) · Journal of Minimally Invasive Gynecology · doi:10.1016/j.jmig.2010.10.007 · Cited by 43 · see citing works
Won, H., Maley, P. E., Salim, S., Rao, A., Campbell, N. T., & Abbott, J. A. (2013) · Obstetrics and Gynecology · doi:10.1097/aog.0b013e318282ed92 · Cited by 43 · see citing works
The age distribution, rates, and types of surgery for stress urinary incontinence in the USA
Shah, A. D., Kohli, N., Rajan, S. S., & Hoyte, L. P. J. (2007) · International Urogynecology Journal · doi:10.1007/s00192-007-0392-y · Cited by 40 · see citing works
Mechanical Bowel Preparation Before Laparoscopic Hysterectomy
Siedhoff, M. T., Clark, L. H., Hobbs, K. A., Findley, A. D., Moulder, J. K., & Garrett, J. M. (2014) · Obstetrics and Gynecology · doi:10.1097/aog.0000000000000121 · Cited by 37 · see citing works
Bowel Preparation Before Vaginal Prolapse Surgery: A Randomized Controlled Trial
Ballard, A. C., Parker-Autry, C. Y., Markland, A. D., Varner, R. E., Huisingh, C., & Richter, H. E. (2014) · Obstetrics & Gynecology · doi:10.1097/aog.0000000000000081 · Cited by 33 · see citing works
Self-citationPatel, M. S., Schimpf, M. O., O’Sullivan, D. M., & LaSala, C. A. (2010) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2010.01.003 · Cited by 32 · see citing works
Bowel Function After Minimally Invasive Urogynecologic Surgery
McNanley, A. R., Perevich, M., Glantz, J. C., et al. (2012) · Urogynecology · doi:10.1097/spv.0b013e3182455529 · Cited by 22 · see citing works
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Perioperative interventions in pelvic organ prolapse surgery
Shahid, U., Haya, N., Baessler, K., Christmann-Schmid, C., Yeung, E., Chen, Z., & Maher, C. (2025) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd013105.pub2 · Cited by 5 · see citing works
Lamberti, G., Giraudo, D., Ciardi, G., & Levis, J. K. (2026) · Journal of Clinical Medicine · doi:10.3390/jcm15031116 · Cited by 2 · see citing works
“Fecal incontinence occurs in up to 5% [16,18,19].”
- Authors
- Ballard, A., Parker-Autry, C., Lin, C. P., Markland, A. D., Ellington, D. R., & Richter, H. E.
- Affiliations
- University of Alabama at Birmingham (US)
- Corresponding author
- Richter, Holly E.
- Venue
- International Urogynecology Journal
- Published
- 2015-02-12
- Volume
- 26
- Issue
- 6
- Pages
- 817-821
- ISSN
- 0937-3462 (ISSN-L)
- 1433-3023
- PMC
- PMC4441563
- OpenAlex
- W1983905304
- Cited by
- 12
- References
- 20
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 1 · 2023: 1 · 2022: 3 · 2018: 1 · 2015: 1
- FWCI
- 0.56
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- International Urogynecology Journal (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (2K24-DK068389, K24DK068389)
- Topics
- Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Medicine › Surgery › Enhanced Recovery After Surgery
- Keywords
- postoperative bowel function, vaginal reconstruction, vaginal prolapse, bowel preparation, bowel diary, fecal incontinence, defecation pain, fecal urgency, laxative use, antiemetic use, women
- MeSH terms
- Aged, Cathartics, Defecation, Female, Humans, Middle Aged, Postoperative Period, Preoperative Care, Gynecologic Surgical Procedures, Uterine Prolapse, Vagina, Plastic Surgery Procedures, Recovery of Function
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