title: [Impact of laparoscopic sacrocolpopexy on symptoms, health-related quality of life and sexuality: A 3-year prospective study].
abstract: OBJECTIVE
  To evaluate the impact of laparoscopic sacrocolpopexy on symptoms, health-related quality of life and sexuality after a 36 month-follow-up. We also reported anatomical outcomes and reoperation rate.
  
  
  METHODS
  A prospective monocentric study was carried out including 82 women with symptomatic Pelvic Organ Prolapse (POP) stage≥2 according to Pelvic Organ Prolapse Quantification classification. Symptoms were evaluated using the Pelvic Floor Distress Inventory (PFDI-20) and health-related quality of life by the Pelvic Floor Impact Questionnaire (PFIQ-7). Sexual function was evaluated using the Pelvic Incontinence Sexual Questionnaire (PISQ-12). Measurements were recorded at the preoperative examination, then at 3, 12 and 36 months after surgery.
  
  
  RESULTS
  PFDI-20 scores were significantly improved at 3 months (91.9 vs. 31.8, P<0.05) and PFIQ-7 scores also (60.8 vs. 16, P<0.05). This scores improvement remained significant at 12 months. There was no significant difference between results obtained at 12 and 36 months for PFDI-20 (36.8 vs. 42.2, P>0.05) and for PFIQ-7 (18.4 vs. 24.7, P>0.05). PISQ-12 score remained significantly improved at 3, 12 and 36 months compared to baseline (34.8, 35.3, 38.5 and 38.5, respectively). Ten patients (12.8%) had anatomical recurrence at 36 months for posterior compartment, 4 (5.1%) for anterior compartment and 1 (1.2%) for medium compartment. Four patients (4.9%) required reintervention.
  
  
  CONCLUSIONS
  Laparoscopic sacrocolpopexy improved early functional outcome that remained significant after at least a 36 months follow up.
  
  
  METHODS
  4.
authors.affiliation: Service d'urologie et andrologie, CHU de Nîmes, place du Professeur-Debré, 30029 Nîmes cedex 09, France. Electronic address: armand.chevrot@hotmail.fr.
authors.forename: A
authors.initials: A
authors.lastname: Chevrot
authors.affiliation: Service d'urologie et andrologie, CHU de Nîmes, place du Professeur-Debré, 30029 Nîmes cedex 09, France.
authors.forename: S
authors.initials: S
authors.lastname: Droupy
authors.affiliation: Service d'urologie et andrologie, CHU de Nîmes, place du Professeur-Debré, 30029 Nîmes cedex 09, France.
authors.forename: E
authors.initials: E
authors.lastname: Linares
authors.affiliation: Service d'urologie et andrologie, CHU de Nîmes, place du Professeur-Debré, 30029 Nîmes cedex 09, France.
authors.forename: R
authors.initials: R
authors.lastname: de Tayrac
authors.affiliation: Service d'urologie et andrologie, CHU de Nîmes, place du Professeur-Debré, 30029 Nîmes cedex 09, France.
authors.forename: P
authors.initials: P
authors.lastname: Costa
authors.affiliation: Service d'urologie et andrologie, CHU de Nîmes, place du Professeur-Debré, 30029 Nîmes cedex 09, France.
authors.forename: L
authors.initials: L
authors.lastname: Wagner
mesh_terms: D002584:Cervix Uteri; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D011446:Prospective Studies; D011788:Quality of Life; D012447:Sacrum; D057566:Self Report; D019529:Sexuality / Q000502:physiology*; D063189:Symptom Assessment; D013997:Time Factors; D014621:Vagina
keywords: Health-related; Laparoscopic sacrocolpopexy; PFDI-20; PFIQ-7; PISQ-12; Pelvic organ prolapse; Prolapsus uro-génital; Promontofixation cœlioscopique; Quality of life; Qualité de vie; Sexuality; Sexualité