Gastrointestinal complications following abdominal sacrocolpopexy for advanced pelvic organ prolapse.

Published

Journal Article

OBJECTIVE: The aims of this secondary analysis of the "Colpopexy And Urinary Reduction Efforts" (CARE) study were to estimate the incidence of postoperative gastrointestinal complications and identify risk factors. STUDY DESIGN: We prospectively identified gastrointestinal complications and serious adverse events (SAE) for 12 months after sacrocolpopexy. Two surgeons independently reviewed reports of ileus or small bowel obstruction (SBO). RESULTS: Eighteen percent of 322 women (average age 61.3 years) reported "nausea, emesis, bloating, or ileus" during hospitalization and 9.8% at 6 weeks. Nineteen women (5.9%; CI 3.8%, 9.1%) had a possible ileus or SBO that generated SAE reports: 4 (1.2%, CI 0.5%,3.2%) were reoperated for SBO, 11 (3.4%, CI 1.9%,6.1%) were readmitted for medical management, and 4 had a prolonged initial hospitalization. Older age (P < .001) was a risk factor for ileus or SBO. CONCLUSION: One in 20 women experiences significant gastrointestinal morbidity after sacrocolpopexy. This information will aid preoperative counseling.

Full Text

Duke Authors

Cited Authors

  • Whitehead, WE; Bradley, CS; Brown, MB; Brubaker, L; Gutman, RE; Varner, RE; Visco, AG; Weber, AM; Zyczynski, H; Pelvic Floor Network,

Published Date

  • July 2007

Published In

Volume / Issue

  • 197 / 1

Start / End Page

  • 78.e1 - 78.e7

PubMed ID

  • 17618767

Pubmed Central ID

  • 17618767

Electronic International Standard Serial Number (EISSN)

  • 1097-6868

Digital Object Identifier (DOI)

  • 10.1016/j.ajog.2007.02.046

Language

  • eng

Conference Location

  • United States