title: Pelvic support, pelvic symptoms, and patient satisfaction after colpocleisis.
abstract: The objective was to study the effect of colpocleisis on pelvic support, symptoms, and quality of life and report-associated morbidity and postoperative satisfaction. Women undergoing colpocleisis for treatment of pelvic organ prolapse (POP) were recruited at six centers. Baseline measures included physical examination, responses to the Pelvic Floor Distress Inventory, and Pelvic Floor Impact Questionnaire. Three and 12 months after surgery we repeated baseline measures. Of 152 patients with mean age 79 (+/-6) years, 132 (87%) completed 1 year follow-up. Three and 12 months after surgery, 90/110 (82%) and 75/103 (73%) patients following up had POP stage < or = 1. All pelvic symptom scores and related bother significantly improved at 3 and 12 months, and 125 (95%) patients said they were either 'very satisfied' or 'satisfied' with the outcome of their surgery. Colpocleisis was effective in resolving prolapse and pelvic symptoms and was associated with high patient satisfaction.
authors.affiliation: Division of Female Pelvic Medicine and Reconstructive Surgery, Loyola University Medical Center, 2160 South First Avenue, Bldg 103, Room 1004, Maywood, Il, 60153, USA. Mfitzg8@lumc.edu
authors.forename: M P
authors.initials: MP
authors.lastname: Fitzgerald
authors.forename: H E
authors.initials: HE
authors.lastname: Richter
authors.forename: C S
authors.initials: CS
authors.lastname: Bradley
authors.forename: W
authors.initials: W
authors.lastname: Ye
authors.forename: A C
authors.initials: AC
authors.lastname: Visco
authors.forename: G W
authors.initials: GW
authors.lastname: Cundiff
authors.forename: H M
authors.initials: HM
authors.lastname: Zyczynski
authors.forename: P
authors.initials: P
authors.lastname: Fine
authors.forename: A M
authors.initials: AM
authors.lastname: Weber
mesh_terms: D005260:Female; D013509:Gynecologic Surgical Procedures; D006305:Health Status Indicators; D006801:Humans; D017060:Patient Satisfaction; D011446:Prospective Studies; D011788:Quality of Life; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000601:surgery; D014596:Uterine Prolapse / Q000601:surgery*; D014621:Vagina / Q000601:surgery