scholarly journals A prospective study of laproscopic paravaginal repair of cystocoele: our experience

2021 ◽  
Vol 10 (9) ◽  
pp. 3472
Author(s):  
Amrapali D. Gosavi ◽  
Sanjay P. Dhangar
Keyword(s):  
Quality Of Life ◽  
Pelvic Organ Prolapse ◽  
Valsalva Maneuver ◽  
Short Form ◽  
Symptomatic Relief ◽  
Pelvic Organ ◽  
Urinary Symptoms ◽  
Epithelial Tissue

Background: Cystocele is diagnosed clinically by vaginal examination approaches using the pelvic organ prolapse quantifications system (POP-Q) of classification. Abdominal and laproscopic are now used due to high failure rate involving the transvaginal repair. Laproscopic repair involves approximation of the vaginal sub-epithelial tissue with the Cooper’s ligament using non-absorbable suture.Methods: This was a prospective observational study from June 2016 to May 2020 over women with symptomatic cystocele of grade ≥2. All patients were preoperatively and post-operatively assessed with quality-of-life questionnaires, pelvic organ prolapse distress inventory-6 (POPDI-6) and urinary distress inventory short form. Clinical examination was done with and without Valsalva maneuver. POP classification was used for grading the prolapse. All patients were assessed for any voiding difficulty after surgery, at one week, three months, six months and 12 months.Results: The median age of patient was 55.5 years. 90.9% patients presented with urinary symptoms. 54.5% patients underwent hysterectomy. The mean blood loss was 55 cc. The anatomic cure rate for cystocoele was 100% in our study in 1 week, 3 months and 6 months post-operatively. There was significant improvement in the quality-of-life scores. Overall, symptomatic relief was seen in 90.9% patients at first week, 95.4% at 3 months, 95.4% at 6 and 12 months follow up. Urinary symptoms were relieved in all patients at first follow up after 7 days, and 95.4% patients during 3, 6 and 12 months follow up.Conclusions: Laproscopic paravaginal cystocoele repair is safe, effective and an easy procedure with good results. The procedure is easy to learn and master with low recurrence rates.

scholarly journals Pelvic organ prolapse surgery and health-related quality of life: a follow-up study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tadesse Belayneh ◽  
Abebaw Gebeyehu ◽  
Mulat Adefris ◽  
Guri Rortveit ◽  
Janne Lillelid Gjerde ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Prolapse Surgery ◽  
Stage Iii ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Abstract Background Symptomatic prolapse impairs quality of life. Health-related quality of life (HRQoL) is considered an important outcome of pelvic organ prolapse (POP) surgery. However, it is rarely reported, and measures are inadequately used. Thus, studies reporting patient-reported surgical outcomes in low-income contexts are needed. This study aims to evaluate the effect of prolapse surgery on patient HRQoL and determine the predictive factors for change in HRQoL. Methods A total of 215 patients who had prolapse stage III or IV were enrolled. Patients underwent vaginal native tissue repair, and their HRQoL was evaluated at baseline, 3 and 6 months postoperatively. Effect of surgery on subjective outcomes were measured using validated Prolapse Quality of Life (P-QoL-20), Prolapse Symptom Score (POP-SS), Body Image in Prolapse (BIPOP), Patient Health Questionnaire (PHQ-9), and Patient Global Index of Improvement (PGI-I) tools. A linear mixed-effect model was used to compare pre- and postoperative P-QoL scores and investigate potential predictors of the changes in P-QoL scores. Results In total, 193 (89.7%) patients were eligible for analysis at 3 months, and 185 (86.0%) at 6 months. Participant’s mean age was 49.3 ± 9.4 years. The majority of patients had prolapse stage III (81.9%) and underwent vaginal hysterectomy (55.3%). All domains of P-QoL improved significantly after surgery. Altogether more than 72% of patients reported clinically meaningful improvement in condition-specific quality of life measured with P-QoL-20 at 6 months. An improvement in POP-SS, BIPOP, and the PHQ-9 scores were also observed during both follow-up assessments. At 6 months after surgery, only 2.7% of patients reported the presence of bulge symptoms. A total of 97.8% of patients had reported improvement in comparison to the preoperative state, according to PGI-I. The change in P-QoL score after surgery was associated with the change in POP-SS, PHQ, BIPOP scores and marital status (p < 0.001). However, age, type of surgery, and prolapse stage were not associated with the improvement of P-QoL scores. Conclusions Surgical repair for prolapse effectively improves patient’s HRQoL, and patient satisfaction is high. The result could be useful for patient counselling on the expected HRQoL outcomes of surgical treatment. Surgical service should be accessible for patients suffering from POP to improve HRQoL.

scholarly journals Quality of life and vaginal symptoms of postmenopausal women using pessary for pelvic organ prolapse: a prospective study

2018 ◽  
Vol 64 (12) ◽  
pp. 1103-1107 ◽  
Author(s):  
Suelene C. Albuquerque Coelho ◽  
Marcos Marangoni-Junior ◽  
Luiz Gustavo Oliveira Brito ◽  
Edilson Benedito de Castro ◽  
Cássia Raquel Teatin Juliato
Keyword(s):  
Quality Of Life ◽  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Urinary Symptoms ◽  
Pelvic Surgery ◽  
Subjective Impression ◽  
Vaginal Symptoms ◽  
Sf 36 ◽  
A Prospective Study

SUMMARY OBJECTIVE: The use of pessary is an option for the conservative treatment of pelvic organ prolapse (POP). However, here are few studies assess the quality of life (QoL) after inserting the pessary for POP. We have hypothesized that the use of pessary would modify QoL in women with POP. METHODS: A prospective, observational study was performed that included 19 women with advanced POP. Pessary was introduced, and the SF-36 (general quality of life) and ICIQ-VS (vaginal symptoms and quality of life subdomain) questionnaires were applied before the introduction and after six months. A single question about the satisfaction regarding the use of the device was presented (subjective impression). RESULTS: The mean age of the women included was 76 years. Most of them were non-caucasian (52.6%), with no prior pelvic surgery (57.5%), with urinary symptoms (78.9%). A third of the patients reported sexual activity. After treatment, 22.2% of them presented vaginal infection, and 27.7% increased vaginal discharge. Urinary symptoms remained unaltered. Women reported 100% satisfaction after using the pessary (77.7% partial improvement; 22.3% total improvement). SF-36 had significant improvement in three specific domains: general state of health (p=0.090), vitality (p=0.0497) and social aspects (p=0.007). ICIQ-VS presented a reduction in the vaginal symptoms (p < 0.0001) and an improvement in QoL (P < 0.0001). CONCLUSION: The use of pessary for six months improved the QoL and reduced vaginal symptoms for women with advanced POP.

Median TiMESH colporrhaphy with transobturator ligature fixation of the vaginal cuff as a method of surgical treatment for post-hysterectomy pelvic hernia

2021 ◽  
Vol 20 (5) ◽  
pp. 136-140
Author(s):  
A.I. Ishchenko ◽  
◽  
A.A. Ishchenko ◽  
I.D. Khokhlova ◽  
T.A. Dzhibladze ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Valsalva Maneuver ◽  
Disease Recurrence ◽  
Pelvic Organ ◽  
Titanium Implants ◽  
Vaginal Cuff ◽  
Gynecological Examination ◽  
Operation Duration

The analysis of clinical observation of 4 patients aged 68–78 years with post-hysterectomy pelvic hernia who were operated with the use of titanium implants and transobturator ligature fixation of the vaginal cuff according to the original technique is presented. Dynamic follow-up for 3–12 months after surgery showed the absence of pelvic organ prolapse during gynecological examination, Valsalva maneuver, and transperineal ultrasound. The questionnaire survey of patients showed their satisfaction with the results of surgery and improvement of their quality of life. Conclusion. Median TiMESH colporrhaphy with transobturator ligature fixation of the vaginal cuff in patients of elderly and senile age with post-hysterectomy pelvic hernia when slightly prolonging the operation duration contributes to strengthening and firm consolidation of the vaginal walls, elevation of the vaginal cuff and adjacent organs, improving the condition of the surgical scar and, therefore, improving patients’ quality of life and preventing disease recurrence. Key words: post-hysterectomy pelvic hernia, median TiMESH colporrhaphy, transobturator ligature fixation of the vaginal cluff

The effect of reconstructive vaginal surgery on quality of life and sexual functions in postmenopausal women with advanced pelvic organ prolapse in intermediate-term follow-up

2021 ◽  
pp. 205336912110097
Author(s):  
Suna Y Karaca
Keyword(s):  
Quality Of Life ◽  
Pelvic Organ Prolapse ◽  
Sexual Function ◽  
Pelvic Organ ◽  
Sacrospinous Ligament ◽  
Sacrospinous Ligament Fixation ◽  
Mccall Culdoplasty ◽  
Advanced Pelvic Organ Prolapse

Objective To compare sexual function and quality of life in women who underwent McCall culdoplasty versus sacrospinous ligament fixation for pelvic organ prolapse. Materials and methods This study was conducted in our urogyanecology clinic between July 2015 and June 2019. We included sexually active postmenopausal women who had undergone either McCall culdoplasty ( n:80 patients) or sacrospinous ligament fixation ( n:38 patients) procedure for threatened POP. Patients in both groups were matched according to age and body mass index. Sexual function between both groups was evaluated with the pelvic organ prolapse/urinary incontinence sexual function 12 patient-reported outcome measures (PROMs) and quality of life with the prolapse quality of life (PQOL) PROMs. Results Emotional domain was low in the McCall culdoplasty group (21.4 ± 10.1 vs. 30.8 ± 15.2; p = 0.03). There were no significant differences in other P-QOL domains. Pain during intercourse was more in the sacrospinous ligament fixation group (2.9 ± 1.6 vs. 1.3 ± 1.1; p = 0.04). The mean operation time in the McCall culdoplasty group was shorter than the sacrospinous ligament fixation group ( p = 0.03). There was no difference between the two surgical procedures performed in terms of intraoperative blood loss and hospital stay. The prevalence of recurrence in the McCall culdoplasty group was 6.2%, and that of sacrospinous ligament fixation was 5% ( p = 0.75) in one year follow-up. Conclusion Our study demonstrated that McCall culdoplasty has a more positive effect on QOL and sexuality than sacrospinous ligament fixation in appropriately selected patients. McCall culdoplasty could be considered as a good option in the treatment of advanced pelvic organ prolapse in elderly patients.

scholarly journals Quality of life of women with postmenopausal pelvic organ prolapse

2017 ◽  
Vol 16 (4) ◽  
pp. 17-23
Author(s):  
Julia Nawrot ◽  
Magdalena Humaj-Grysztar ◽  
Agnieszka Gniadek ◽  
Dorota Matuszyk ◽  
Renata Biernat
Keyword(s):  
Quality Of Life ◽  
Pelvic Organ Prolapse ◽  
Short Form ◽  
Subjective Assessment ◽  
Pelvic Organ ◽  
University Hospital ◽  
Common Symptom ◽  
Survey Techniques ◽  
The University

AbstractAim. The aim of the study was to evaluate the quality of life of women with pelvic organ prolapse during the postmenopausal period.Material and methodology. The study group consisted of 45 patients of the Department of Gynecology and Oncology at the University Hospital in Cracow The study was conducted as a diagnostic survey using the following survey techniques: author's questionnaire and the Short Form of Health Status Questionnaire (SF-36v2).Results. The results showed that the respondents rated their quality of life as lower than the norm set by the authors of the SF-36v2 questionnaire. A statistically significant (p<0.05) correlation between the age of the subjects and the quality of life was found.Conclusions. The quality of life of the women with the pelvic organ prolapse was low. The reason of the subjective assessment of quality of life was age. The most common symptom associated with pelvic organ prolapse was feeling the urge to urinate.

scholarly journals Transvaginal Bilateral Sacrospinous Fixation after Second Recurrence of Vaginal Vault Prolapse: Efficacy and Impact on Quality of Life and Sexuality

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Salvatore Giovanni Vitale ◽  
Antonio Simone Laganà ◽  
Marco Noventa ◽  
Pierluigi Giampaolino ◽  
Brunella Zizolfi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Vaginal Vault Prolapse ◽  
Vaginal Vault ◽  
Vault Prolapse ◽  
Sacrospinous Fixation ◽  
Sf 36

Objective. Our aim was to study the efficacy of transvaginal bilateral sacrospinous fixation (TBSF) and its impact on quality of life (QoL) and sexual functions in women affected by second recurrences of vaginal vault prolapse (VVP). Materials and Methods. We performed a prospective observational study on 20 sexually active patients affected by second recurrence of VVP, previously treated with monolateral sacrospinous fixation. TBSF was performed in all the patients. They had been evaluated before the surgery and at 12-month follow-up through pelvic organ prolapse quantification (POP-Q) system, Short Form-36 (SF-36), and Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). Results. At 12-month follow-up, 18 out of 20 (90%) patients were cured of their recurrent VVP. No major intra- and postoperative complications occurred. We found a significant improvement in 4/5 POP-Q landmarks (excluding total vaginal length), SF-36, and PISQ-12 scores. Conclusion. According to our data analysis, TBSF appears to be safe, effective, and able to improve both QoL and sexual functions in patients affected by second recurrence of VVP after previous monolateral sacrospinous fixation.

Use of a Pessary in Treatment of Pelvic Organ Prolapse: Quality of Life, Compliance, and Failure at 1-Year Follow-up

2011 ◽  
Vol 18 (1) ◽  
pp. 68-74 ◽  
Author(s):  
Po-Chun Ko ◽  
Tsia-Shu Lo ◽  
Ling-Hong Tseng ◽  
Yi-Hao Lin ◽  
Ching-Chung Liang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pelvic Organ Prolapse ◽  
Pelvic Organ

Transvaginal mesh repair for pelvic organ prolapse surgery improve patient’s quality of life at long term follow up

2019 ◽  
Vol 18 (1) ◽  
pp. e1383-e1385
Author(s):  
S. Morselli ◽  
V. Li Marzi ◽  
P. Spatafora ◽  
C. Zaccaro ◽  
M. Di Camillo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pelvic Organ Prolapse ◽  
Mesh Repair ◽  
Pelvic Organ ◽  
Transvaginal Mesh ◽  
Long Term Follow Up ◽  
Transvaginal Mesh Repair

scholarly journals Health-related quality of life after pelvic organ prolapse surgery in Ethiopia: A 6 month follow-up study

2020 ◽  
Author(s):  
Tadesse Belayneh ◽  
Abebaw Gebeyehu ◽  
Mulat Adefris ◽  
Guri Rortveit ◽  
Janne Lillelid Gjerde ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Body Image ◽  
Surgical Treatment ◽  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Abstract Background Pelvic organ prolapse (POP) affects health-related quality of life (HRQoL). Patient-reported outcomes (PRO) measures the quality of care from the patient’s perspective. PROs are an important measure of surgical outcome and used to calculate health gains after surgical treatment. We assessed HRQoL in women undergoing surgical repair of POP. Methods Two hundred fifteen women with stage III or IV prolapse underwent surgical POP repair between February 2018 and May 2019. Pelvic Organ Prolapse Quality of Life (P-QoL-20) was administered at baseline, 3 and 6 months postoperatively to assess HRQoL. Depressive symptoms and body image also evaluated. Linear mixed-effect models were used to compare pre and postoperative HRQoL scores and investigate potential predictors. Results Participant’s mean age was 49.3 ± 9.4 years. Most (81.9%) had stage III prolapse and underwent a vaginal hysterectomy, although 40% preferred uterine preservation. No differences were seen between women follow-up and those lost to follow-up in HRQoL (p > 0.05). The P-QoL, depressive symptoms, and body image were improved 6 months post-operatively. The change in P-QoL significantly associated with body image scores. The type of surgery did not show a significant difference. Being married showed an improvement in the personal relationship subscale score (β = 5.8, p < 0.01). Conclusions Our results indicated a potential improvement of HRQoL after surgical treatment. The result could be useful for patient counseling on the expected HRQoL outcomes of surgical treatment. Surgical service should be accessible for women suffering from POP to improve HRQoL.

scholarly journals Pelvic Organ Prolapse Surgery and Health-Related Quality of Life: A Follow-up Study.

2020 ◽  
Author(s):  
Tadesse Belayneh ◽  
Abebaw Gebeyehu ◽  
Mulat Adefris ◽  
Guri Rortveit ◽  
Janne Lillelid Gjerde ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Prolapse Surgery ◽  
Stage Iii ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Abstract Background: Bothersome descent of pelvic organs impairs health-related quality of life (HRQoL). Patient HRQoL is considered an important outcome of pelvic organ prolapse (POP) surgery. However, it is rarely reported and measures are inadequately used. Thus, studies reporting patient-reported surgical outcomes in low-income contexts are needed. This study aimed to evaluate the effect of prolapse surgery on patient HRQoL and to determine the predictive factors for change in HRQoL. Methods: Two-hundred-fifteen women who had POP stage III or IV were enrolled. Patient underwent vaginal native tissue repair and their HRQoL was evaluated at baseline, 3 and 6 months post-operatively. Subjective outcomes were measured using validated Prolapse Quality of Life (P-QoL-20), Prolapse Symptom Score (POP-SS), Body Image in Prolapse (BIPOP), Patient Health Questionnaire (PHQ-9), and Patient Global Index of Improvement (PGI-I) tools. Linear mixed-effect model was used to compare pre and postoperative P-QoL scores and investigate potential predictors of the changes in P-QoL scores. Results: In total, 193 (89.7%) patients were eligible for analysis at 3 months, and 185 (86.0%) at 6 months. Participant’s mean age was 49.3±9.4 years. The majority of patients had prolapse stage III (81.9%) and underwent vaginal hysterectomy (55.3%). All domains of P-QoL improved significantly after surgery. Altogether more than 72% of patients reported clinical meaningful improvement in quality of life measured with P-QoL-20. An improvement in POP-SS, BIPOP, and the PHQ-9 scores were also observed during both follow-up assessments. At 6 months after surgery, only 2.7% of patients reported the presence of bulge symptom. A total of 97.8% of patients had reported improvement in comparison to the preoperative state, according to PGI-I. The change in P-QoL score after surgery was associated with the change in POP-SS, PHQ, and BIPOP scores and marital status (p < 0.001). However, age, type of surgery, and prolapse stage were not associated with P-QoL score change. Conclusions: Surgical repair for prolapse effectively improves patient’s HRQoL and patient satisfaction is high. The result could be useful for patient counseling on the expected HRQoL outcomes of surgical treatment. Surgical service should be accessible for patients suffering from POP to improve HRQoL.

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