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

Abstract

Background Pelvic floor static disorders constitute a significant clinical and social problem. The incidence of the problem increases with the age of female patients up to 80 years of age. Due to various methods of procedural treatment, eligibility for surgery should be carefully discussed with the patient. Ideally, the surgery should be effective, applicable in patients with a positive family history and with the least possible number of complications. Such procedures seemed to be transvaginal surgeries performed under block anaesthesia, using synthetic materials, giving good results in most studies. The objective of this study was to assess the quality of life of patients before and after the surgery of an isolated apical defect with the use of synthetic materials. Methods The study included 60 patients who were diagnosed with pelvic floor static disorder on the basis of physical examination. Standardised questionnaires were used to assess the quality of life and satisfaction with life: the Perceived Quality of Life (P-QOL) and the Satisfaction With Life Scale (SWLS). Results The P-QOL results for each domain were higher in patients before surgery compared to the results obtained after the surgery. For almost all domains, the results obtained were statistically significant. The results of the SWLS questionnaire in most answers also show that after the procedure there was an improvement in satisfaction with life in the examined female patients. Conclusion In most patients, surgical treatment of an isolated apical defect using synthetic materials results in clearance of burdensome symptoms and improves the quality of life.