[Anterior colporrhaphy under local anesthesia].
OBJECTIVE
To evaluate the advantage of the usage of local anesthesia for vaginal surgery in gerontological patients.


METHODS
Prospective study.


METHODS
Charles University in Prague, 1st Medical Faculty and Hospital Bulovka, Department of Obstetrics and Gynaecology, Prague.


METHODS
43 patients over 60, 4 were younger, with diagnosed descent of anterior vaginal wall G II-III according to International Continence Society classification, were included into the study. They underwent anterior vaginal wall repair in the sole local anesthesia. For the assessment of the procedure, we used anamnestic data and quality of life questionnaires Visual analogue scale, International Consultation on Incontinence Questionnaire - Short Form, Pelvic Floor Distress Inventory - 20.


RESULTS
The results of used questionnaires confirmed positive results of the local anesthesia. We demonstrated statistically significant improvement of the urinary incontinence too, as well as subjective perception of the descent.


CONCLUSIONS
Excellent subjective assessment of usage of local anesthesia showed us new operative possibility in treatment applicable in high-risk patients.
J
J
Vláčil
M
M
Halaška
O
O
Šottner
K
K
Maxová
M
M
Kotoulová
I
I
Malá
D000772:Anesthesia, Local / Q000523:psychology*; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006299:Health Services for the Aged; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D011446:Prospective Studies; D011788:Quality of Life; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014621:Vagina / Q000601:surgery*