The assessment of quality of life and satisfaction with life of patients before and after surgery of an isolated apical defect using synthetic materials

Zalewski, Maciej; Kołodyńska, Gabriela; Mucha, Anna; Bełza, Łukasz; Nowak, Krzysztof; Andrzejewski, Waldemar

doi:10.1186/s12894-020-00666-7

Cited by 6 publications

(5 citation statements)

References 29 publications

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“…Another study confirmed a significant improvement in the quality of life scores at 12 months [21]. Unfortunately, the study was not designed to assess anatomical outcomes.…”

Section: Discussionmentioning

confidence: 91%

Long-Term Results after Bilateral Sacrospinous Colposuspension: A Prospective Study

Chêne

Cerruto

Moret

et al. 2023

JCM

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The loss of apical support is usually present in patients with pelvic organ prolapse. An effective correction for the vaginal apex may be an essential part of a durable repair for these women. Apical suspension of the sacrospinous ligament is likely one of the best treatments by the vaginal route. We proposed the evaluation of the functional and anatomical long-term results of an ultralight and macroporous sling. In this prospective study, bilateral sacrospinous colposuspension was performed in 32 patients with a specific mesh. Functional assessment with several validated quality of life questionnaires and pelvic examination was performed at 1, 6, 12, and 24 months after surgery. Pelvic examination using the POP-Q classification showed a very good efficacy of the BSC mesh with only three prolapse recurrences at 24 months after surgery. All the following QoL scores were significantly improved by two years: PFIQ-7 (p < 0.0001), PFDI-20 (p < 0.0001), and SF-12 (p < 0.0001). No improvement was achieved by the PISQ12 questionnaire. This vaginal minimally invasive procedure is effective, quick, reproducible, and easy. It may be a relevant option for a vaginal vault or cervical or uterine prolapse.

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“…Another study confirmed a significant improvement in the quality of life scores at 12 months [21]. Unfortunately, the study was not designed to assess anatomical outcomes.…”

Section: Discussionmentioning

confidence: 91%

Long-Term Results after Bilateral Sacrospinous Colposuspension: A Prospective Study

Chêne

Cerruto

Moret

et al. 2023

JCM

View full text Add to dashboard Cite

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“…There were two main procedures for vaginal surgeries: reconstructive (in two subgroups, including repair with natural tissue [ 17 , 19 , 20 , 23 , 24 , 31 , 36 , 37 , 38 , 60 , 61 , 63 , 64 , 65 , 66 ] ( Table 2 ) and repair with mesh [ 7 , 9 , 12 , 21 , 25 , 26 , 29 , 32 , 35 , 39 , 40 , 41 , 42 , 43 , 44 , 55 , 62 , 67 , 68 , 69 , 78 , 82 , 83 , 85 ]) ( Table 3 ) and obliterative surgeries [ 18 , 27 , 60 , 71 , 72 , 73 , 86 ] ( Table 4 ). In one study, obliterative surgery and sacrospinous fixation in older postmenopausal women were compared, and the QoL was better in the sacrospinous group [ 18 ].…”

Section: Resultsmentioning

confidence: 99%

Quality of Life Following Pelvic Organ Prolapse Treatments in Women: A Systematic Review and Meta-Analysis

Ghanbari

Ghaemi

Shafiee

et al. 2022

JCM

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Introduction: Quality of life (QoL) improvement is one of the main outcomes in the management of pelvic organ prolapse as a chronic illness in women. This systematic review aimed to investigate the impact of surgical or pessary treatment for pelvic organ prolapse (POP) on quality of life. Methods: Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) was applied. Electronic databases, including PubMed, Scopus, and Web of Science, were searched for original articles that evaluated the QoL before and after surgical interventions or pessary in pelvic organ prolapse from 1 January 2012 until 30 June 2022 with a combination of proper keywords. Included studies were categorized based on interventions, and they were tabulated to summarize the results. Results: Overall, 587 citations were retrieved. Of these, 76 articles were found eligible for final review. Overall, three categories of intervention were identified: vaginal surgeries (47 studies), abdominal surgeries (18 studies), and pessary intervention (11 studies). Almost all interventions were associated with improved quality of life. The results of the meta-analysis showed a significant association between the employment of surgical approach techniques (including vaginal and abdominal surgeries) and the quality of life (Pelvic Floor Distress Inventory (PFDI) (MD: −48.08, 95% CI: −62.34 to −33.77, p-value < 0.01), Pelvic Floor Impact Questionnaire (PFIQ) (MD: −33.41, 95% CI: −43.48 to −23.34, p < 0.01)) and sexual activity of patients with pelvic organ prolapse (Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire (PISQ) (MD: 4.84, 95% CI: 1.75 to 7.92, p < 0.01)). Furthermore, narrative synthesis for studies investigating the effect of the pessary approach showed a positive association between the use of this instrument and improvement in the quality of life and sexual activity. Conclusions: The results of our study revealed a significant improvement in the women’s quality of life following abdominal and vaginal reconstructive surgery. The use of pessary was also associated with increased patient quality of life.

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“…The study involved 60 patients and was more focused on the assessment of patients` satisfaction after the surgery. The authors concluded that in most patients, surgical treatment of isolated apical defects using BSC-mesh resulted in the elimination of bothersome symptoms and improvement of quality of life [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

Anatomical and functional outcomes after bilateral sacrospinous colposuspension (BSC) for the treatment of female genital prolapse

et al. 2023

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Background Pelvic organ prolapse is a bothersome condition affecting many women at advanced age, but also frequently observed in young women with certain risk factors. Various surgical techniques have been developed with the aim of providing effective surgical treatment for apical prolapse. The vaginal bilateral sacrospinous colposuspension surgery (BSC) with ultralight mesh and utilization of the i- stich is a relatively new minimal invasive technique with very promising outcomes. The technique offers apical suspension, in the presence or absence of the uterus. The objective of this study is to evaluate the anatomical and functional outcomes of bilateral sacrospinous colposuspension with ultralight mesh in 30 Patients treated with the vaginal single incision standardized technique. Methods In this retrospective study, 30 patients were treated by BSC for significant vaginal, uterovaginal or cervical prolapse. A simultaneous anterior colporrhaphy, posterior colporrhaphy or both were performed when indicated. Anatomical and functional outcomes were assessed 1 year postoperatively using the Pelvic Organ Prolapse Quantification system (POP-Q) and the standardised Prolapse Quality of Life (P-QOL) questionnair. Results The POP-Q parameters were significantly improved at twelve months after surgery compared to baseline. The total score and all four subdomains of the P-QOL-questionnaire showed positive trends and improvement at twelve months after surgery when compared to preoperative values. All patients were asymptomatic and expressed high satisfaction one year after surgery. No intraoperative adverse events were recorded for all patients. Only minimal postoperative complications were recorded and they all resolved completely with conservative management. Conclusion This study highlights the functional and anatomical outcomes of the minimally invasive vaginal bilateral sacrospinal colposuspension with ultralight mesh for the management of apical prolapse. The one year postoperative results of the proposed procedure reflect excellent outcomes with minimal complications. The data published here are very promising and warrant further investigations and more studies to evaluate the long-term outcomes of BSC in the surgical management of apical defects. Trial registration The study protocol was approved by the Ethics Committee at the University Hospital of Cologne, Germany (Date of registration: 08.02.2022) (Registration number: 21-1494-retro) (retrospectively registered).

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The assessment of quality of life and satisfaction with life of patients before and after surgery of an isolated apical defect using synthetic materials

Cited by 6 publications

References 29 publications

Long-Term Results after Bilateral Sacrospinous Colposuspension: A Prospective Study

Long-Term Results after Bilateral Sacrospinous Colposuspension: A Prospective Study

Quality of Life Following Pelvic Organ Prolapse Treatments in Women: A Systematic Review and Meta-Analysis

Anatomical and functional outcomes after bilateral sacrospinous colposuspension (BSC) for the treatment of female genital prolapse

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