E-Posters-10158_Arunachalam

10158_Arunachalam

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This document discusses a study that examines the impact of posterior compartment surgery on defecatory symptoms in women undergoing laparoscopic sacrocolpopexy (LSC) procedures for pelvic organ prolapse. The study compares three groups of women: those who underwent LSC alone, LSC with posterior repair (LSC+PR), and laparoscopic sacrocolpoperineopexy (LSCP). The study found that there was no significant difference in anatomic changes or symptom resolution among the three groups. However, persistent symptoms of straining to defecate were higher in the LSC+PR and LSCP groups compared to the LSC alone group. There was no significant difference in quality of life changes among the groups. The study concludes that the addition of posterior compartment surgery does not provide any significant functional benefit for defecatory symptoms compared to LSC alone.<br /><br />The study highlights that defecatory symptoms are complex and can be influenced by various factors, not just anatomical factors. Therefore, it is unrealistic to expect that anatomic correction alone will improve bowel symptoms. The study suggests that future large-scale studies are needed to validate the findings and determine the best approach for managing obstructed defecation in women undergoing apical suspension procedures.<br /><br />Overall, the study shows that posterior compartment surgery does not provide any differential benefit for defecatory symptoms in women undergoing mesh augmented apical suspension procedures. The findings suggest that other factors beyond anatomical correction need to be considered in the management of obstructed defecation.

Keywords

posterior compartment surgery

defecatory symptoms

laparoscopic sacrocolpopexy

pelvic organ prolapse

LSC alone

LSC with posterior repair

laparoscopic sacrocolpoperineopexy

anatomic changes

symptom resolution

straining to defecate