Long-term functional stability of sacrospinous ligament-fixation repair of pelvic organ prolapse.
The objective of this study was to evaluate the variation over 5 years of functional discomfort associated with pelvic organ prolapse (POP) repaired by sacrospinous ligament fixation (SLF). A total of 178 women who had undergone SLF from 1992 to 2001. In 2002 and 2008, patients were sent a questionnaire including the pelvic floor distress inventory (PFDI-20); 79 responded and comparison of those data served to evaluate subjective signs at 5 years. This population was divided into two groups: ≤60 and >60 years old, and their 2002-2008 differences were compared. The outcomes were satisfaction, functional results and sexuality. Mean follow-up was 115 (72-173) months. Our results showed the long-term stability of SLF functional outcomes for women >60 years. However, for those≤60 years, functional outcomes and satisfaction had declined at 5 years.
Service de Gynécologie Obstétrique, Hôpital Armand-Trousseau, Assistance Publique-Hôpitaux de Paris (AP-HP), Université de Paris VI, Paris, France. carine.souviat@gmail.com
C
C
Souviat
A
A
Bricou
R
R
Porcher
F
F
Demaria
X
X
Fritel
J-L
JL
Benifla
A
A
Pigné
D000367:Age Factors; D000368:Aged; D005260:Female; D006801:Humans; D008022:Ligaments / Q000601:surgery*; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D011183:Postoperative Complications; D011788:Quality of Life; D011795:Surveys and Questionnaires; D016896:Treatment Outcome