CoChat
Sign Up
Cited by 84Pelvic floor disorders treatmentsUterine Myomas and TreatmentsAnorectal Disease Treatments and Outcomes

Bowel symptoms 1 year after surgery for prolapse: further analysis of a randomized trial of rectocele repair

Open access
Gustilo-Ashby, A. Marcus, Paraiso, Marie Fidela R., Jelovsek, John Eric, Walters, Mark D., Barber, Matthew D.·2007·American Journal of Obstetrics and Gynecology
DOI 10.1016/j.ajog.2007.02.045
Open this paper in CoChat — free accountOpen PDF

Abstract

Objective The purpose of this study was to analyze change in bowel function and its relationship to vaginal anatomy 1 year after rectocele repair and pelvic reconstruction in a randomized trial of 3 techniques of rectocele repair.Study design The study is an ancillary analysis of data from a randomized trial of 3 techniques of rectocele repair: posterior colporrhaphy, site-specific repair, and site-specific repair with Fortagen graft augmentation. Pelvic examination and validated questionnaires were obtained at baseline, 6 months, and 1 year after surgery. Bowel symptoms included straining, splinting, incomplete emptying, painful defecation, fecal urgency, and fecal incontinence. Logistic regression was used to identify predictors of bothersome postoperative symptoms.Results One hundred six women with Stage > or = 2 POP, which included a rectocele, were enrolled in the study. Ninety-nine underwent prolapse surgery that included a rectocele repair and completed at least 1 follow-up visit. Ninety-six percent of subjects underwent concomitant prolapse surgery. No differences in change in bowel symptoms were noted between treatment groups. On average, all bowel symptoms evaluated were significantly improved 1 year after surgery. The development of new "bothersome" bowel symptoms after surgery was uncommon (11%). After controlling for age, treatment group, comorbidities, and preoperative bowel symptoms, corrected postoperative vaginal support (Stage 0/1) was associated with a reduced risk of postoperative straining (adj. OR 0.17 95% CI 0.03 to 0.9) and feeling of incomplete emptying (adj. OR 0.1 95% CI 0.01 to 0.52). Normal support of the posterior vaginal wall (Bp < or = -2) was associated with a reduced risk of bothersome incomplete emptying (OR 0.08 95% CI 0.004 to 0.58) but not with other symptoms.Conclusion Resolution or improvement in bowel symptoms can be expected in the majority of women after rectocele repair and pelvic reconstruction. While all symptoms improved after surgery, a reduction in bothersome postoperative straining and incomplete emptying were specifically associated with cure of posterior vaginal wall prolapse.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1016/j.ajog.2007.02.045

Cites

15 of 15 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • The observed reduction in routine posterior mesh placement over the study period reflects increased awareness of the association between posterior compartment procedures and defecatory dysfunction.

    “The observed reduction in routine posterior mesh placement over the study period reflects increased awareness of the association between posterior compartment procedures and defecatory dysfunction [28].”

    From Perioperative complications of laparoscopic sacrohysteropexy versus sacrocolpopexy with subtotal hysterectomy for pelvic organ prolapse (2026) · cites this paper as [28]

    The COMMENT section (page not provided) discusses bowel symptoms after posterior repair, including reports of worsening after traditional posterior colporrhaphy. But the RESULTS report significant improvement in defecatory dysfunction across all three repair groups. The paper does not examine a reduction in routine posterior mesh placement over time or attribute such a trend to increased awareness. (LLM, conf=0.83)

    Experimental — accuracy not yet measured

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Research works printed but not linked: 2

  1. Paraiso MFR, Weber AM, Walters MD, Bal- lard LA, Piedmonte MR, Skibinski C. Anatomic and functional outcomes after posterior colpor- rhaphy. J Pelvic Surg 2001;7:335-9.
  2. Barber M, Walters M, Bump R. Association of the magnitude of pelvic organ prolapse and presence and severity of symptoms. J Pelvic Med Surg 2003;9:208.

Cited by

Sorted by citations

Related

Authors
Gustilo-Ashby, A. M., Paraiso, M. F. R., Jelovsek, J. E., Walters, M. D., & Barber, M. D.
Affiliations
Cleveland Clinic (US)
ORCID
Venue
American Journal of Obstetrics and Gynecology
Publisher
Elsevier BV
Published
2007-07
Volume
197
Issue
1
Pages
76.e1-76.e5
ISSN
0002-9378 (ISSN-L)
DOI
10.1016/j.ajog.2007.02.045
OpenAlex
W2048469476
Cited by
84
References
15
Citations by year
2026: 1 · 2025: 2 · 2024: 2 · 2023: 7 · 2022: 6 · 2021: 7 · 2020: 2 · 2019: 3 · 2018: 4 · 2017: 3 · 2016: 7 · 2014: 3 · 2013: 1 · 2012: 11
FWCI
4.34
Type
journal article
Language
en
Open access
Licence
Locations
  • American Journal of Obstetrics and Gynecology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
  • Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
  • Health Sciences › Medicine › Surgery › Anorectal Disease Treatments and Outcomes
Keywords
rectocele repair, bowel symptoms, pelvic organ prolapse, posterior vaginal wall prolapse, straining, incomplete emptying, fecal incontinence, fecal urgency, posterior colporrhaphy, pelvic reconstruction, postoperative outcomes
MeSH terms
Defecation, Fecal Incontinence, Female, Humans, Surveys and Questionnaires, Rectal Prolapse, Digestive System Surgical Procedures, Gynecologic Surgical Procedures, Time Factors, Uterine Prolapse, Treatment Outcome, Rectocele

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review