Résultats fonctionnels et qualité de vie après double promontofixation cœlioscopique pour la cure du prolapsus génital

Bui, Charles; Ballester, Marcos; Chéreau, E.; Guillo, E.; Daraı̈, Émile

doi:10.1016/j.gyobfe.2010.06.001

Cited by 24 publications

(4 citation statements)

References 32 publications

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“…In addition, our data are consistent with those of retrospective studies demonstrating a significant improvement in quality of life after surgical cure of genital prolapse by both vaginal route and laparoscopy [22,26-31]. Moreover, unlike retrospective series, our study shows an improvement in anorectal symptoms assessed by the sub-questionnaire CRADI-8 [32]. Similar results were noted using the PFIQ-7 questionnaire.…”

Section: Discussionsupporting

confidence: 91%

Potential relevance of pre-operative quality of life questionnaires to identify candidates for surgical treatment of genital prolapse: a pilot study

et al. 2012

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BackgroundTo evaluate prolapse-related symptoms, quality of life and sexuality of patients with validated questionnaires before and after surgery for genital prolapse and assess relevance of such an evaluation to select women for surgery.MethodsFrom November 2009 to April 2010, 16 patients operated on for genital prolapse of grade greater than or equal to 2 (POP-Q classification) were evaluated prospectively by three questionnaires of quality of life Pelvic Floor Distress Inventory (PFDI-20), Pelvic Floor Impact Questionnaire (PFIQ-7) and Pelvic Organ Prolaps/Urinary Incontinence Sexual Questionnaire (PISQ-12). Data were collected the day before surgery and 6 weeks postoperatively.ResultsEleven patients had laparoscopic surgery and five vaginal surgery. There was a significant decrease in pelvic heaviness, vaginal discomfort and urinary symptoms after surgery. The score of symptoms of prolapse, the PFDI-20 score was 98.5 preoperatively and 31.8 postoperatively (p < 0.0001). The score for quality of life, the PFIQ-7 score was 54.5 preoperatively and 7.4 postoperatively (p = 0.001). The score of sexuality, the PISQ-12 score was 35.3 preoperatively and 37.5 postoperatively (p = 0.1). Two of the 3 patients with a PFIQ 7 under or equal to 20 were not improved while all the women with a preoperative PFIQ-7 over 20 were improved after surgery.ConclusionsThis study suggests that surgery improves quality of life of patients with genital prolapse. Quality of life questionnaires could help select good candidates for surgery. Further studies are required to determine threshold to standardize indications of surgery.

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Section: Discussionsupporting

confidence: 91%

Potential relevance of pre-operative quality of life questionnaires to identify candidates for surgical treatment of genital prolapse: a pilot study

et al. 2012

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“…The rate of laparotomy conversion decreased greatly from 12% to 0.6%. These rates are similar in literature (0-11%) as well as reasons for conversion (adhesions, difficult access to promontory and hypercapnia) [7,8,[16][17][18]. This may be due to better mastery and standardisation of techniques for surgeons but also anaesthetists and all the operating staff [5,6].…”

Section: Discussionsupporting

confidence: 76%

“…This may be compared to the rates reported in the literature between 2.2% and 17.4% [18,[20][21][22][23][24][25]. Bladder wounding is the most frequent complication: 0.8-3% in our study vs. 1-7% in literature [8,9,[18][19][20][21][26][27][28][29][30][31]. Diagnosis was always made during intervention with immediate suture and simple aftereffects.…”

Section: Discussionsupporting

confidence: 54%

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Laparoscopic sacrocolpopexy: impact of the learning curve. Historic retrospective comparative study between two series of 93 and 169 patients

et al. 2011

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Genital prolapse is one of the most frequent reasons for gynaecologic consultations. Laparoscopic sacrocolpopexy (LSC) became the gold standard since laparoscopy was developed. We retrospectively compared two groups of patients: 82 who undergone LSC from January 1996 to December 2002 (group A) and 169 from January 2002 to December 2009 (group B), always by the same team. Suspension was reinforced with two strips of synthetic mesh. Laparoscopy was performed in 93 women of group A and 169 of group B. They all had symptomatic uterine prolapse. Conversion to laparotomy because of technical difficulties was significantly lower in the second than the first period (1 vs. 11, p<0.001). We performed less culdoplasty, levator myorrhaphy and Burch colposuspension (p<0.001) but more associated cure of urinary stress incontinence in the second period. Peri-operative complications (7.3% vs. 1.8%, p=0.006), post-operative complications (21% vs. 5%), and surgical length decreased (231 to 191 min, p<0.001). Six patients (7%) in group A had reintervention, 15 (9%) in group B. LSC is a reproducible technique. A learning curve shortens the length of intervention and operative and post-operative complications and rate of conversion to laparotomy.

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Systematic review and meta‐analysis of the pelvic organ prolapse and vaginal prolapse among the global population

Mudalige,

Pathiraja,

Delanerolle

et al. 2024

BJUI Compass

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BackgroundPelvic organ prolapse (POP) occurs when one or more pelvic organs (uterus, bowel, bladder or top of the vagina) descend from their normal position and bulge into the vagina. Symptoms include pelvic discomfort, fullness, and changes in bladder or bowel function. Treatment ranges from conservative approaches to surgery, depending on symptom severity. Surgical methods include vaginal wall repair, with or without hysterectomy, or via laparoscopic, robotic or open techniques. Common complications include bleeding, infection, and urinary or bowel dysfunction.MethodsA systematic review was conducted, and a protocol was registered with PROSPERO (CRD42022346051). Publications from 30 April 1980 to 30 April 2023 were retrieved from multiple databases. Data were analysed using random‐effects and common‐effects models with subgroup and sensitivity analyses.FindingsForty‐four studies met the inclusion criteria, with 29 studies used for meta‐analysis of vaginal prolapse surgery outcomes. Sixteen studies focused on patients who had undergone hysterectomy alongside prolapse repair.InterpretationPatients who underwent vaginal prolapse surgery with hysterectomy experienced higher operative and postoperative complication rates than those without hysterectomy. Increased risks included hospital readmission, POP recurrence and re‐operation. The review highlighted a lack of diversity in terms of ethnicity, age and comorbidity status, which are essential to fully understanding the impact of POP. Future research should focus on these underrepresented factors.

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Résultats fonctionnels et qualité de vie après double promontofixation cœlioscopique pour la cure du prolapsus génital

Cited by 24 publications

References 32 publications

Potential relevance of pre-operative quality of life questionnaires to identify candidates for surgical treatment of genital prolapse: a pilot study

Potential relevance of pre-operative quality of life questionnaires to identify candidates for surgical treatment of genital prolapse: a pilot study

Laparoscopic sacrocolpopexy: impact of the learning curve. Historic retrospective comparative study between two series of 93 and 169 patients

Systematic review and meta‐analysis of the pelvic organ prolapse and vaginal prolapse among the global population

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