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Symptomatic and quality of life outcomes after site-specific fascial reattachment for pelvic organ prolapse repair

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Abstract

The aim of this study was to assess symptomatic and quality of life outcome scores following site specific fascial reattachment surgery for pelvic organ prolapse using the validated Prolapse Quality of Life (P-QOL) questionnaires. One hundred and ninety two women underwent surgery for pelvic organ prolapse; ninety four underwent anterior repair (thirty four of them had vaginal hysterectomy), and ninety eight had posterior repair. Patients filled P-QOL questionnaires 24 hours prior to surgery and a postal P-QOL questionnaire six months post operatively. Pre and post operative questionnaires were paired. Quality of life and symptoms scores were calculated using Wilcoxon signed rank test. One hundred and one women returned their questionnaires and were suitable to include in the study. Forty nine underwent anterior repair (fifteen had vaginal hysterectomy) and 52 underwent posterior repair. Quality of life scores showed significant improvement in the anterior and posterior repair groups with the exception of general health in the anterior repair group and general health and prolapse impact in the posterior repair group. Anterior repair significantly improved urinary voiding and storage symptoms. Posterior repair group showed significant improvement in defecatory symptoms. Both groups showed improvement in sexual function and general prolapse symptoms. Prolapse repair with site specific fascial reattachment results in significant improvement in quality of life scores six months after surgery. Anterior repair improves urinary voiding and storage symptoms and posterior repair improves defecatory dysfunction and urinary voiding. Sexual function improves following prolapse repair with site specific fascial reattachment.

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Acknowledgement

Financial support: Astellas (nonrestrictive support).

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Authors and Affiliations

  1. Urogynecology Unit, East Lancashire Hospitals, Blackburn, UK

    Abdalla M. Fayyad, Emma Redhead & Simon R. Hill

  2. Department of Obstetrics and Gynecology, Lancashire Teaching Hospital, Preston, UK

    Noveen Awan, Maria Kyrgiou & Sanjeev Prashar

  3. Department of Obstetrics and Gynecology, East Lancashire Hospitals, Haslingden Road, Blackburn, BB2 3HH, UK

    Abdalla M. Fayyad

Authors
  1. Abdalla M. Fayyad
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  2. Emma Redhead
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  3. Noveen Awan
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  6. Simon R. Hill
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Correspondence to Abdalla M. Fayyad.

Additional information

Presentation information: British Society of Urogynaecology Annual Scientific Meeting, Royal College of Obstetricians and Gynaecologists, London, UK. November 17th 2006.

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Fayyad, A.M., Redhead, E., Awan, N. et al. Symptomatic and quality of life outcomes after site-specific fascial reattachment for pelvic organ prolapse repair. Int Urogynecol J 19, 191–197 (2008). https://doi.org/10.1007/s00192-007-0424-7

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  • DOI: https://doi.org/10.1007/s00192-007-0424-7

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