https://doi.org/10.4081/uij.2012.e4

Pelvic organ prolapse and anorectal manometry: a prospective study

Vol. 26 No. 1 (2012)
Submitted: 16 December 2011
Accepted: 11 May 2012
Published: 31 May 2012
anorectal manometry, bowel dysfunction, outcome of surgery, POP surgery, prolapse symptom.
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Authors

Kristina Crafoord
kristina.crafoord@orebroll.se
Division of Obstetrics and Gynecology, Department of Clinical and Experimental Medicine, Faculty of Health Sciences, Linköping University, Sweden; Department of Obstetrics and Gynecology, University Hospital, Örebro, Sweden, Sweden.
Jan Brynhildsen
Division of Obstetrics and Gynecology, Department of Clinical and Experimental Medicine, Faculty of Health Sciences, Linköping University, Sweden; Department of Obstetrics and Gynecology, County Council of Östergötland, Linköping, Sweden, .
Olof Hallböök
Department of Surgery, University Hospital, Linköping, Sweden, .
Preben Kjølhede
Division of Obstetrics and Gynecology, Department of Clinical and Experimental Medicine, Faculty of Health Sciences, Linköping University, Sweden; Department of Obstetrics and Gynecology, County Council of Östergötland, Linköping, Sweden, .
The aim of this study was to evaluate associations between anal sphincter pressure and stage of prolapse and bowel and prolapse symptoms among women undergoing prolapse surgery and to determine whether anal sphincter pressure could predict symptomatic and anatomical outcomes of prolapse surgery. Fortytwo women with pelvic organ prolapse (POP) stage 2-3 were included in this prospective longitudinal study. Pre- and postoperative evaluation by means of a symptom questionnaire, clinical examination and anorectal manometry. The vaginal prolapse surgery included at the very least posterior colporrhaphy. Analysis of variance and covariance and logistic regression models were used for statistical analyses. The anal sphincter pressure at rest and squeeze was significantly lower in women with the symptom vaginal protrusion than in the women without the symptom. No associations were found between anal sphincter pressure and the extent or degree of prolapse or subjective and anatomical outcomes of POP surgery. The prolapse symptom vaginal protrusion is associated with a low anal sphincter pressure but the anal sphincter pressure does not seem to predict the outcome of POP surgery, neither regarding symptoms nor anatomy.

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Supporting Agencies

Unrestricted grants from Konsul Thure Carlssons Minnesfond, from Lions Forskningsfond mot Folksjukdomar vid Hälsouniversitet i Linköping and from the County Councils of Östergötland and Örebro, and Linköpings University.
Kristina Crafoord, Division of Obstetrics and Gynecology, Department of Clinical and Experimental Medicine, Faculty of Health Sciences, Linköping University, Sweden; Department of Obstetrics and Gynecology, University Hospital, Örebro, Sweden
MD, Ph D

 

How to Cite

Crafoord, K., Brynhildsen, J., Hallböök, O., & Kjølhede, P. (2012). Pelvic organ prolapse and anorectal manometry: a prospective study. Urogynaecologia, 26(1), e4. https://doi.org/10.4081/uij.2012.e4

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