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Long-term quality of life and patient satisfaction following anterior vaginal mesh repair for cystocele

  • General Gynecology
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Purpose

The aim of this study was to assess the relationship between long term quality of life (QoL), patient satisfaction, and Pelvic Organ Prolapse Quantification (POPQ) scores following anterior vaginal repair with mesh.

Methods

This cross-sectional study included 127 patients who underwent anterior pelvic floor repair with mesh and were assessed 1.03–2.69 years post surgery. One hundred and four women completed the King’s Health Questionnaire (KHQ), the Sheffield Prolapse Symptoms Questionnaire, the EurolQoL EQ-5D, and the Patient Satisfaction Index. POPQ scores were recorded for up to 1 year.

Results

Patients reported good current QoL and high patient satisfaction. POPQ Aa and Ba scores showed significant improvements from a pre-surgery median of +1 to a median of −3 at 12-month follow-up (P < .001). Patient satisfaction was inversely correlated with Aa scores at 12 months (r s = −.360, n = 49, P < .011). There were high QoL scores at an average 2 years after anterior compartment mesh repair.

Conclusions

QoL outcomes were good. There was a significant relationship between Aa scores and patient satisfaction, suggesting that this outcome is a key to patient satisfaction.

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Conflict of interest

We declare that we have no conflict of interest.

Author information

Authors and Affiliations

  1. Gynaecology Department, Benenden Hospital, Benenden, Kent, TN17 4AX, UK

    Mohamed Hefni, Julie Meredith, Mohamed Mossa & Simon Edmonds

  2. Institute for Women’s Health, University College London, Hampstead Campus, Pond St, London, NW3 2QG, UK

    John A. Barry

  3. Obstetrics and Gynaecology Department, University Hospital of Larissa, 41500, Larissa, Thessaly, Greece

    Ourania Koukoura

Authors
  1. Mohamed Hefni
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  2. John A. Barry
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  3. Ourania Koukoura
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  4. Julie Meredith
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  5. Mohamed Mossa
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  6. Simon Edmonds
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Corresponding author

Correspondence to Ourania Koukoura.

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Hefni, M., Barry, J.A., Koukoura, O. et al. Long-term quality of life and patient satisfaction following anterior vaginal mesh repair for cystocele. Arch Gynecol Obstet 287, 441–446 (2013). https://doi.org/10.1007/s00404-012-2583-0

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  • DOI: https://doi.org/10.1007/s00404-012-2583-0

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