201. [Quality of life, symptoms of dyschezia, and anatomy after correction of rectal motility disorder].
- Author
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Pigot F, Castinel A, Juguet F, Marrel A, Deroche C, and Marquis P
- Subjects
- Adolescent, Adult, Aged, Aged, 80 and over, Constipation complications, Constipation pathology, Constipation physiopathology, Defecation, Elective Surgical Procedures adverse effects, Elective Surgical Procedures methods, Elective Surgical Procedures psychology, Female, Gastrointestinal Transit, Humans, Middle Aged, Pain complications, Pain pathology, Pain physiopathology, Prospective Studies, Rectal Prolapse complications, Rectal Prolapse pathology, Rectal Prolapse physiopathology, Rectocele complications, Rectocele pathology, Rectocele physiopathology, Severity of Illness Index, Surveys and Questionnaires, Treatment Outcome, Constipation psychology, Constipation surgery, Pain psychology, Pain surgery, Quality of Life, Rectal Prolapse psychology, Rectal Prolapse surgery, Rectocele psychology, Rectocele surgery
- Abstract
Aim of the Study: To evaluate the quality of life of patients suffering from dyschezia and its correlation with symptomatic complaints and anatomical abnormalities, before and after elective surgery for rectal static disorder., Patients and Methods: A prospective study was conducted using a general quality of life questionnaire (SF36) and a constipation specific score (PAC-QoL), a dyschezia symptom score, and defecography., Results: Thirty-eight female dyschesic patients (mean age 54 years) underwent surgery for rectocele with (n=16) or without (n=14) internal rectal prolapse, an isolated internal rectal prolapse (n=3), or a total rectal prolapse (n=5). Preoperative quality of life was low, correlated with the intensity of dyschezia. Seven months after surgery, quality of life and dyschezia improved independently of the amplitude of the anatomical correction. More items improved in the constipation specific score than on the quality of life questionnaire; they were correlated with the course of dyschezia symptoms. Neither incontinence nor irritable bowel syndrome affected evolution of the symptoms., Conclusion: Surgery improved initially low quality of life and symptomatic complaints in patients with dyschezia and a rectal static disorder, independently of anatomic repair. Differences in changes observed in the PAC-QoL and SF36 suggest different fields of application.
- Published
- 2001