[Development of quality of life of women after urogynecological operations].
OBJECTIVE
The aim of the study is to show the changes in quality of life before and after surgery for genuine stress urinary incontinence by means of the subjective assessment.


METHODS
Prospective study.


METHODS
The Department of Obstetric and Gynaecology, the 1st Medical Faculty of Charles University and General Hospital, Prague.


METHODS
73 women were initially involved in the study. After one year of control we could only evaluate 51 of them (69.9%). Their average age was 56, BMI over 25 had 70% of them and 47% of them underwent a gynaecologic surgery in history. With these 51 women we managed to get complete questionnaire before the surgery on GSI and during the following checking after 3 months and 1 year. The most frequent type of surgery was colposuspension (76%). The quality of life in connection with the incontinence is measured by the help of a specific standardized questionnaire IQoL from Donald L. Patrick. In the same document we also evaluate the global effect of provided surgical procedures.


RESULTS
The average value of the IQoL questionnaire before operation was 50.2. It reached 80.2 done year after the surgery. The difference of 30 makes a notable improvement in the quality of life. The average value 78.8 three month after the surgery was similar. The check up three month and one year after the surgery showed 6% aggravation in the quality of life in comparison with the life before the surgery. The quality of life one year after the surgery improved in 82% women.


CONCLUSIONS
One year after surgery the quality of life remains highly improved as evaluated by the patient.
Drahorádová
P
P
Gynekologicko-porodnická klinika VFN a 1: LF UK, Praha.
Masata
J
J
Martan
A
A
Svabík
K
K
D005260:Female; D006801:Humans; D008875:Middle Aged; D011788:Quality of Life; D011795:Surveys and Questionnaires; D014550:Urinary Incontinence, Stress / Q000601:surgery*