Obstructed defecation syndrome in the first week after pelvic reconstructive surgery

Introduction and hypothesis Research shows that patients are concerned about postoperative bowel function after pelvic reconstructive surgery. The objectives of this study were to estimate the proportion of patients with obstructed defecation syndrome (ODS), a subtype of constipation, in the week af...

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Bibliographic Details
Published in:International Urogynecology Journal 2022-11, Vol.33 (11), p.2985-2992
Main Authors: Muñiz, Keila S., Wainger, Julia, Diaz, Sophia, Mgboji, Glory E., Yanek, Lisa R., Pandya, Prerna R., Kikuchi, Jacqueline Y., Patterson, Danielle, Chen, Chi Chiung Grace, Blomquist, Joan, Jacobs, Stephanie, Handa, Victoria L.
Format: Article
Language:English
Subjects:
Defecation
Gynecology
Mann-Whitney U test
Medicine
Medicine & Public Health
Original Article
Questionnaires
Reconstructive surgery
Urology
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Summary:Introduction and hypothesis Research shows that patients are concerned about postoperative bowel function after pelvic reconstructive surgery. The objectives of this study were to estimate the proportion of patients with obstructed defecation syndrome (ODS), a subtype of constipation, in the week after surgery, to identify associated patient-level and perioperative characteristics and the associated bother. Methods Women completed a preoperative and postoperative ODS questionnaire and postoperative bowel diary. Characteristics of women with and without postoperative ODS were compared. Chi-squared or Fisher’s exact tests compared categorical variables. Student’s t test or Wilcoxon rank-sum tests compared continuous variables. Multivariate logistic regression was assessed for independent effects. Wilcoxon rank-sum tests compared the groups with regard to bother. Spearman correlation coefficients described the relationship among bother, postoperative ODS score, and bowel diary variables. Results Of the 186 participants enrolled, 165 completed the postoperative ODS questionnaire. Of these, 39 women (23.6%, 95% CI 17.2–30.1) had postoperative ODS. Postoperative ODS was significantly associated with preoperative ODS ( p  
ISSN:0937-3462
1433-3023
DOI:10.1007/s00192-021-04978-6