Quality of Life Outcomes After Sacrocolpopexy
Location
Steelcase Lecture Hall
Description
PURPOSE: The purpose of this study was to compare pre-surgical and post-surgical quality of life outcomes pertaining to bladder, bowel and vaginal symptoms after daVinci sacrocolpopexy for vaginal prolapse. SUBJECTS: This study included 100 patients who had daVinci Sacrocolpopexy for uterine prolapsed. METHODS: Subjects were mailed the following quality of life questionnaires: PFIQ-20 and two versions of the PFIQ-7. One version of the PFIQ-7 measured quality of life before surgery and the second after surgery. Two additional questions were included in the mailings which were: “Overall, how do you feel in terms of your prolapse since your surgery?” and “Would you choose to have the surgery again?” ANALYSES: Descriptive statistics were used to describe the sample and the Wilcoxon Signed-Rank test was used to determine significance. RESULTS: A total of 57 patients (57%) returned the surveys A significant decrease in symptoms was found between pre-surgical summary scores of the PFIQ-7 and post-surgical summary scores (p<001). The pre-surgical bladder, bowel, and vaginal symptoms showed a significant decrease compared to the post-surgical bladder, bowel and vaginal symptoms (p<.001, p=0.007, and p<.001 respectively). The PFIQ-20 results identified that a majority of subjects had no complaints regarding their vaginal prolapsed after the surgery. No patients reported to be worse or markedly worse after the surgery, and 95% reported that they would have the surgery all over again. CONCLUSIONS: Based on this study, daVinci sacrocolpopexy resulted in an increase in quality life in the area of bladder, bowel, and vaginal symptoms.
Quality of Life Outcomes After Sacrocolpopexy
Steelcase Lecture Hall
PURPOSE: The purpose of this study was to compare pre-surgical and post-surgical quality of life outcomes pertaining to bladder, bowel and vaginal symptoms after daVinci sacrocolpopexy for vaginal prolapse. SUBJECTS: This study included 100 patients who had daVinci Sacrocolpopexy for uterine prolapsed. METHODS: Subjects were mailed the following quality of life questionnaires: PFIQ-20 and two versions of the PFIQ-7. One version of the PFIQ-7 measured quality of life before surgery and the second after surgery. Two additional questions were included in the mailings which were: “Overall, how do you feel in terms of your prolapse since your surgery?” and “Would you choose to have the surgery again?” ANALYSES: Descriptive statistics were used to describe the sample and the Wilcoxon Signed-Rank test was used to determine significance. RESULTS: A total of 57 patients (57%) returned the surveys A significant decrease in symptoms was found between pre-surgical summary scores of the PFIQ-7 and post-surgical summary scores (p<001). The pre-surgical bladder, bowel, and vaginal symptoms showed a significant decrease compared to the post-surgical bladder, bowel and vaginal symptoms (p<.001, p=0.007, and p<.001 respectively). The PFIQ-20 results identified that a majority of subjects had no complaints regarding their vaginal prolapsed after the surgery. No patients reported to be worse or markedly worse after the surgery, and 95% reported that they would have the surgery all over again. CONCLUSIONS: Based on this study, daVinci sacrocolpopexy resulted in an increase in quality life in the area of bladder, bowel, and vaginal symptoms.