title: Body image, regret, and satisfaction following colpocleisis.
abstract: OBJECTIVE
  Colpocleisis is a definitive surgical treatment for prolapse resulting in vaginal obliteration. We sought to evaluate body image, regret, satisfaction, and pelvic floor symptoms following this procedure.
  
  
  METHODS
  This was a prospective multicenter study through the Fellows' Pelvic Research Network. All women electing colpocleisis for management of pelvic organ prolapse were screened for enrollment. The Pelvic Floor Impact Questionnaire, Pelvic Floor Distress Inventory, and the modified Body Image Scale (BIS) were completed preoperatively and 6 weeks following surgery. Additionally, the Decision Regret Scale and the Satisfaction with Decision Scale were administered at the 6-week postoperative visit. A sample size of 88 subjects was calculated to evaluate change in the BIS score.
  
  
  RESULTS
  In all, 87 patients were analyzed. Mean age was 79 years (SD 5.8) with a mean body mass index of 27 (SD 5.3). The majority (89.3%) was Caucasian. Six weeks after surgery, significant improvements were noted in all parameters. Mean BIS scores decreased from 4.8 to 1.2 (P < .001), signifying improved body image. Indeed, the overall number of subjects with BIS scores in the normal range doubled after surgery. Pelvic Floor Distress Inventory and Pelvic Floor Impact Questionnaire scores decreased significantly (P < .001 and P < .001), suggesting a positive impact on bladder, bowel, and prolapse symptoms. Finally, low levels of regret (mean score 1.35) and concurrent high satisfaction (mean score 4.73) were documented.
  
  
  CONCLUSIONS
  Colpocleisis improves body image and pelvic floor symptoms while giving patients a definitive surgical option that results in low regret and high satisfaction.
authors.affiliation: Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics and Gynecology, Good Samaritan Hospital, Cincinnati, OH. Electronic address: Catrina_Crisp@trihealth.com.
authors.forename: Catrina C
authors.initials: CC
authors.lastname: Crisp
authors.forename: Nicole M
authors.initials: NM
authors.lastname: Book
authors.forename: Aimee L
authors.initials: AL
authors.lastname: Smith
authors.forename: Jacqueline A
authors.initials: JA
authors.lastname: Cunkelman
authors.forename: Vivian
authors.initials: V
authors.lastname: Mishan
authors.forename: Alejandro D
authors.initials: AD
authors.lastname: Treszezamsky
authors.forename: Sonia R
authors.initials: SR
authors.lastname: Adams
authors.forename: Costas
authors.initials: C
authors.lastname: Apostolis
authors.forename: Lior
authors.initials: L
authors.lastname: Lowenstein
authors.forename: Rachel N
authors.initials: RN
authors.lastname: Pauls
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001828:Body Image / Q000523:psychology*; D004644:Emotions; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000523:psychology*; D006801:Humans; D017060:Patient Satisfaction; D056887:Pelvic Organ Prolapse / Q000523:psychology / Q000601:surgery*; D011446:Prospective Studies; D011788:Quality of Life; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014621:Vagina / Q000601:surgery*
keywords: body image; colpocleisis; regret; satisfaction