Quality of life and surgical satisfaction after vaginal reconstructive vs obliterative surgery for the treatment of advanced pelvic organ prolapse.
OBJECTIVE
We sought to compare quality of life and patient satisfaction after obliterative vs reconstructive surgery.


METHODS
A retrospective cohort study of women who met the following inclusion criteria: age 65 years or older, leading edge of prolapse 4 cm or greater beyond the hymen, and vaginal reconstructive or obliterative surgery. Preoperative responses to the Urogenital Distress Inventory (UDI-6) and Incontinence Impact Questionnaire (IIQ-7) were collected retrospectively. We then mailed the same questionnaires, and the Surgical Satisfaction Questionnaire (SSQ-8), to these subjects postoperatively.


RESULTS
Mode of surgery was evenly split (n = 45 per group) between the 90 patients meeting the inclusion criteria. Improvements from the preoperative to postoperative Incontinence Impact Questionnaire and Urogenital Distress Inventory were comparable as were postoperative Surgical Satisfaction Questionnaire scores.


CONCLUSIONS
Improvements in condition-specific quality of life and postoperative patient satisfaction measures are comparable in women with prolapse who undergo either reconstructive or obliterative surgery.
Murphy
Miles
M
Institute for Female Pelvic Medicine & Reconstructive Surgery, North Wales, PA, USA.
Sternschuss
Gina
G
Haff
Robin
R
van Raalte
Heather
H
Saltz
Stephanie
S
Lucente
Vincent
V
D000368:Aged; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D017060:Patient Satisfaction; D011788:Quality of Life; D019651:Plastic Surgery Procedures; D013526:Surgical Mesh; D011795:Surveys and Questionnaires; D014596:Uterine Prolapse / Q000601:surgery*; D014621:Vagina / Q000601:surgery*