Functional outcome after sacrospinous hysteropexy for uterine descensus.
The study aimed to evaluate urogenital symptoms, defecatory symptoms and quality of life before and after a sacrospinous hysteropexy for uterovaginal prolapse. Seventy-two women with symptomatic uterovaginal prolapse were treated with sacrospinous hysteropexy. Before and after surgery, urogenital and defecatory symptoms and quality of life were assessed with a validated questionnaire. Anatomical outcome was assessed by means of pelvic examination before and after surgery. The mean follow-up time was 12.7 months. Scores on all domains of urogenital symptoms and defecatory symptoms, except for the pain and fecal incontinence domain, improved significantly. Also, quality of life improved on all domains. No major complications were encountered.
Dietz
Viviane
V
Department of Perinatology and Gynecology, University Medical Center Utrecht, Room F05.126, Heidelberglaan 100, P.O. Box 85500, 3508 GA Utrecht, The Netherlands. viviane.dietz@sapio.nl
Huisman
Marieke
M
de Jong
Joyce M
JM
Heintz
Peter M
PM
van der Vaart
Carl H
CH
D000368:Aged; D005242:Fecal Incontinence / Q000209:etiology / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D011788:Quality of Life; D020127:Recovery of Function; D053825:Suburethral Slings; D013536:Suture Techniques; D014550:Urinary Incontinence, Stress / Q000209:etiology / Q000601:surgery; D014596:Uterine Prolapse / Q000150:complications / Q000601:surgery*