Which factors determine subjective improvement following pelvic organ prolapse 1 year after surgery?

Lawndy, Sameh S. S.; Kluivers, Kirsten B.; Milani, Alfredo L.; Withagen, Mariëlla I. J.; Hendriks, Jan C.M.; Vierhout, Mark E.

doi:10.1007/s00192-010-1321-z

Cited by 8 publications

(5 citation statements)

References 19 publications

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“…Indeed, two of the three patients with a preoperative PFIQ-7 less than or equal to 20 had no improvement in quality of life after surgery while the remaining 13 patients with a preoperative PFIQ-7 above 20 were improved. Our results are in accordance with those of Lawndy et al [33] showing that even if no difference was observed in anatomical results, some patients reported the absence of symptoms improvement.…”

Section: Discussionsupporting

confidence: 93%

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: 93%

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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“…In line with the ICIQ‐VS results, the PGII showed a high success rate at 6 months after prolapse surgery and increased further at 12 months. This level of PGII success is in line with other reported studies …”

Section: Discussionsupporting

confidence: 93%

The effect of vaginal pelvic organ prolapse surgery on sexual function

Dirnagl

Dwyer

Rosamilia

et al. 2014

Neurourol. Urodynam.

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“…There is no consensus regarding the best method of outcome assessment of POP surgery, but the achievement of patient-oriented goals gains importance [ 6 , 7 ]. Traditional physician-determined measures of treatment success appeared to be insufficient to determine the quality of surgical outcomes and patient satisfaction [ 7 – 9 ]; this may be explained by the fact that surgeons and patients had different goals and expectations on the outcomes of surgery [ 10 ]. This has led to the introduction of disease-specific QoL questionnaires in order to determine the quality of surgical outcomes in a more patient-oriented manner [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Between hope and fear: patient’s expectations prior to pelvic organ prolapse surgery

et al. 2011

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Introduction and hypothesisThe aim of our study was to analyse the patient’s expectations (fears and goals (hopes)) in women who are scheduled for pelvic organ prolapse (POP) surgery.MethodsAll consecutive women awaiting surgery for POP in a tertiary urogynaecological centre were included. A short questionnaire with two open questions on goals and fears with regard to the operation was used.ResultsNinety-six out of 111 distributed questionnaires (86%) were analysed. Goals and fears were categorized into five groups. De novo symptoms (63%), POP recurrence (34%) and surgical complications (29%) were the most important fears. Symptom release (96%), improved lifestyle (physical capabilities; 30%) and improved sexual life (18%) were important goals.ConclusionsA wide variety of expectations both positive and negative can be found in women before POP surgery and should be an integral part of preoperative counselling. Achieving the individual goals as based on expectations, positive (goals) and negative (fears), should be part of the POP surgery evaluation.

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Which factors determine subjective improvement following pelvic organ prolapse 1 year after surgery?

Abstract: The first operation was more often associated with subjective improvement, and both anatomical and functional outcomes were of importance. The mere finding of a statistical significant improvement was no guarantee for subjective improvement after POP surgery.

Cited by 8 publications

References 19 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

The effect of vaginal pelvic organ prolapse surgery on sexual function

Between hope and fear: patient’s expectations prior to pelvic organ prolapse surgery

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