Introduction. Pelvic organ prolapse is commonly associated with symptomatic
stress urinary incontinence, in up to 50% of patients. The aim of our
research was to examine the quality of life of women with urinary
incontinence and pelvic organ prolapse after conventional surgical
treatment. Material and Methods. The research included 50 patients with
stress urinary incontinence and pelvic organ prolapse that underwent vaginal
hysterectomy with anterior and posterior colporrhaphy. The pelvic organ
prolapse-quantification system was used to determine the degree of genital
prolapse. All patients completed a questionnaire to determine the ?stress
and urge? score preoperatively, as well as the Urinary Distress Inventory-6
and Urinary Impact Questionnaire-7 during the follow-up examination, a year
after the surgery. Results. One year after surgery, 20 patients (40%)
presented with a recurrence of cystocele. The average value of the Urinary
Distress Inventory-6 questionnaire a year after surgery was 29.0 ? 10.8,
while the average value of the Urinary Impact Questionnaire-7 questionnaire
was 3.7 ? 16.3. After the surgery, 6 patients (12%) had persistent stress
urinary incontinence and 4 patients (8%) had urge urinary incontinence.
Among patients with persistent stress urinary incontinence, two patients
reported pronounced symptoms of stress urinary incontinence and reoperation
was performed. Conclusion. The classical surgical treatment of pelvic organ
prolapse with anterior and posterior colporrhaphy leads to improvement in
the quality of life of patients with pelvic organ prolapse and stress
urinary incontinence. If the symptoms of stress urinary incontinence persist
after classical surgical treatment, other anti-incontinence surgical
modalities should be considered.
Complications related to use of mesh implants in surgical treatment of stress urinary incontinence and pelvic organ prolapse: infection or inflammation?