Authors: Alicia Ballard Candace ParkerAutry Chee Paul Lin Alayne D Markland David R Ellington Holly E Richter
Publish Date: 2015/02/12
Volume: 26, Issue: 6, Pages: 817-821
Abstract
Subjects N = 121 completed two bowel diaries a 7day bowel diary immediately before surgery and a 14day diary postoperatively Selfreported bowel diary data and symptoms included the time to first bowel movement BM daily number of BMs Bristol Stool Form Scale score pain and urgency associated with BM episodes of fecal incontinence and use of laxatives Antiemetic use was abstracted from medical records Outcomes of groups were compared using Chisquared/Fisher’s exact test or Student’s t test as appropriateMean time to first postoperative BM was similar in the bowel preparation n = 60 and control groups n = 61 812 ± 289 vs 786 ± 282 h p = 085 With the first BM there were no significant differences between bowel preparation and control groups regarding pain 172 vs 279 p = 017 fecal urgency with defecation 569 vs 525 p = 063 fecal incontinence 140 vs 150 p = 088 and 1 use of laxatives 933 vs 967 p = 044 respectively Antiemetic use was similar in both groups 483 vs 557 respectively p = 042There were no differences in the return of bowel function and other bowel symptoms postoperatively between the randomized groups Lack of bowel preparation does not have an impact on the risk of painful defecation postoperatively This information may be used to inform patients regarding expectations for bowel function after vaginal reconstructive surgeryA Ballard concept development data collection manuscript draft/edit/final approval C ParkerAutry data collection and manuscript draft/edit/final approval CP Lin analysis of data and manuscript draft/edit/final approval A Markland concept development data collection manuscript draft/edit/final approval D Ellington data collection and manuscript draft/edit/final approval H Richter concept development and manuscript draft/edit/final approval
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