Top

Published in:

01-10-2008 | Original Article

Long-term patient satisfaction with prolapse surgery in general gynecology

Authors: Emma Hawkins, Sundararajah Raajkumar, Mohammad Masood

Published in: International Urogynecology Journal | Issue 10/2008

Abstract

This retrospective cohort study aimed to explore the factors associated with long-term success of prolapse surgery in a general gynecology setting. A chart review was performed of 528 women who had had a total of 535 operations for prolapse at least 4 years earlier. Those who had not had further pelvic floor surgery were sent a questionnaire exploring their satisfaction with surgery. The outcome could be determined for 406 (75%) of the women, of whom 238 (59%) were improved. In multivariate analyses, women were more likely to be satisfied with surgery if they were older, did not have a prior or concurrent colposuspension, if the prolapse operation included a hysterectomy and if they were operated on by one particular team. Selection of the right operation for the correct patient by the correct surgeon could improve the success of prolapse surgery.

Olsen AL, Smith VJ, Bergstorm JO, Colling JC, Clark AL (1997) Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol 89:501–506PubMedCrossRef

Marana HR, Andrade JM, Marana RR, Matheus de sala M, Philbert PM, Rodrigues R (1999) Vaginal hysterectomy for correcting genital prolapse. Long term evaluation. J Reprod Med 44:529–534PubMed

Moghimi K, Valbo A (2005) Genital prolapse: a follow-up study assessing subjective and objective results five years or more after surgical intervention. Eur J Obstet Gynecol Reprod Biol 120:198–201PubMedCrossRef

Tegerstedt G, Hammarstrom M (2004) Operation for pelvic organ prolapse: a follow-up study. Acta Obstet Gynecol Scand 83:758–763PubMedCrossRef

Silva WA, Pauls RN, Segal JL, Rooney CM, Kleeman SD, Karram MM (2006) Uterosacral ligament vault suspension: five-year outcomes. Obstet Gynecol 108:255–263PubMed

Webb MJ, Aronson MP, Ferguson LK, Lee RA (1998) Posthysterectomy vaginal vault prolapse: primary repair in 693 patients. Obstet Gynecol 92:281–285PubMedCrossRef

Sung VW, Rogers ML, Myers DL, Clark MA (2006) Impact of hospital and surgeon volumes on outcomes following pelvic reconstrutive surgery in the United States. Am J Obstet Gynecol 195:1778–1783PubMedCrossRef

Burrows LJ, Meyn LA, Walters MD, Weber AM (2004) Pelvic symptoms in women with pelvic organ prolapse. Obstet Gynecol 104:982–988PubMed

Ghetti C, Gregory WT, Edwards SR, Otto LN, Clark AL (2005) Pelvic organ descent and symptoms of pelvic floor disorders. Am J Obstet Gynecol 193:53–57PubMedCrossRef

10.

Tan JS, Lukacz ES, Menefee SA, Powell CR, Nager CW (2005) Predictive value of prolapse symptoms: a large database study. Int Urogynecol J Pelvic Floor Dysfunction 16:203–209CrossRef

11.

Digesu GA, Khullar V, Cardozo L, Robinson D, Salavatore S (2005) P-QOL: a validated questionnaire to assess the symptoms and quality of life of women with urogenital prolapse. Int Urogynecol J Pelvic Floor Dysfunction 16:176–181CrossRef

12.

Barber MD, Walters MD, Bump RC (2005) Short forms of two condition-specific quality-of-life questionnaires for women with pelvic floor disorders (PFDI-20 and PFIQ-7). Am J Obstet Gynecol 193:103–113PubMedCrossRef

13.

Fayyad A, Hill S, Gurung V, Prashar S, Smith ARB (2007) How accurate is symptomatic and clinical evaluation of prolapse prior to surgical repair. Int Urogynecol J Pelvic Floor Dysfunction 18:1179–1183CrossRef

14.

Shumaker SA, Wyman JF, Uebersax JS, McClish D, Fantl JA (1994) Health-related quality of life measures for women with urinary incontinence: the Incontinence Impact Questionnaire and the Urogenital Distress Inventory. Continence Program in Women (CPW) Research Group. Qual Life Res 3:291–306PubMedCrossRef

15.

Nieminen K, Huhtala H, Heinonen PK (2003) Anatomic and functional assessment and risk factors of recurrent prolapse after vaginal sacrospinous fixation. Acta Obstet Gynecol Scand 82:471–478PubMedCrossRef

16.

Whiteside JL, Weber AM, Meyn LA, Walters MD (2004) Risk factors for prolapse recurrence after vaginal repair. Am J Obstet Gynecol 191:1533–1538PubMedCrossRef

17.

Ward KL, Hilton P (2004) A prospective multicenter randomised trial of tension-free vaginal tape and colposuspension for primary urodynamic stress incontinence: Two year follow up. Am J Obstet Gynecol 190:324–331PubMedCrossRef

18.

Weber AM, Abrams P, Brubaker L, Cundiff G, Davis G, Dmochowski RR, Fischer J, Hull T, Nygaard I, Weidner AC (2001) The standardisation of terminology for researchers in female pelvic floor disorders. Int Urogynecol J Pelvic Floor Dysfunction 12:178–186CrossRef

19.

Elkadry EA, Kenton KS, Fitzgerald M, Shott S, Brubaker L (2003) Patient-selected goals: a new perspective on surgical outcome. Am J Obstet Gynecol 189:1551–1558PubMedCrossRef

20.

Barber MD, Visco AG, Wyman JF, Fantl JA, Bump RC (2002) Sexual function in women with urinary incontinence and pelvic organ prolapse. Obstet Gynecol 99:281–289PubMedCrossRef

21.

Weber AM, Walters MD, Piedmonte MR (2000) Sexual function and vaginal anatomy in women before and after surgery for pelvic organ prolapse and urinary incontinence. Am J Obstet Gynecol 182:1610–1615PubMedCrossRef

22.

Helstrom L, Nilsson B (2005) Impact of vaginal surgery on sexuality and quality of life in women with urinary incontinence or genital descensus. Acta Obstet Gynecol Scand 84:79–84PubMedCrossRef

23.

Kahn M, Stanton SL (1997) Posterior colporraphy: its effect on bowel and sexual function. Br J Obstet Gynaecol 104:82–86PubMed

24.

Jeffcoate TNA (1959) Posterior colpoperineorrhaphy. Am J Obstet Gynecol 77:490–502PubMed

25.

Vierhout ME, Stoutjesdijk J, Spruijt J (2006) A comparison of preoperative and intraoperative evaluation of patients undergoing pelvic reconstructive surgery for pelvic organ prolapse using the Pelvic Organ Prolapse Quantification System. Int Urogynecol J Pelvic Floor Dysfunction 17:46–49CrossRef

26.

Beer M, Kuhn A (2005) Surgical techniques for vault prolapse: a review of the literature. Eur J Obstet Gynecol Reprod Biol 119:144–155PubMedCrossRef

27.

Digesu GA, Khullar V, Cardozo L, Robinson D, Salvatore S (2000) P-QOL: a validated quality of life questionnaire for the symptomatic assesment of women with uterovaginal prolapse. Int Urogynecol J Pelvic Floor Dysfunction 11:25

28.

Brubaker L, Shull B (2005) EGGS for patient-centred outcomes. Int Urogynecol J Pelvic Floor Dysfunction 16:171–173CrossRef

29.

Jha S, Moran PA (2007) National survey on the management of prolapse in the UK. Neurourol Urodyn 26:325–331PubMedCrossRef

Title: Long-term patient satisfaction with prolapse surgery in general gynecology
Authors: Emma Hawkins
Sundararajah Raajkumar
Mohammad Masood
Publication date: 01-10-2008
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 10/2008
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-008-0649-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Long-term patient satisfaction with prolapse surgery in general gynecology

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 10/2008

The aetiology of prolapse

Comment on Schimpf et al. “Anterior vaginal wall prolapse and voiding dysfunction in urogynecology patients”

Do racial differences in knowledge about urogynecologic issues exist?

Stress urinary incontinence and counseling and practice of pelvic floor exercises postpartum in low-income Hispanic women

Transobturator vaginal tape inside out procedure for stress urinary incontinence: results of 102 patients

Discrepancies between physician interview and a patient self-assessment questionnaire after surgery for pelvic organ prolapse