Subjective and objective results of anterior vaginal wall repair in an outpatient clinic: a 5-year follow-up
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- Greisen, S., Glavind-Kristensen, M., Bek, K.M. et al. Int Urogynecol J (2012) 23: 883. doi:10.1007/s00192-012-1663-9
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Introduction and hypothesis
This prospective follow-up study evaluates long-term subjective and objective outcome of conventional anterior vaginal wall repair in an outpatient setting.
Eighty-two women were operated. At 5-year follow-up anatomical results were evaluated by clinical examination. Furthermore, the women filled in a validated symptom and quality of life questionnaire.
Seventy (85%) women attended the follow-up visit. Eleven percent of these had been reoperated for anterior vaginal wall prolapse and was considered a separate group in the analysis. Thirty-four percent had no pelvic organ prolapse (POP). Twenty-nine percent had stage 1 POP whereas 24% had stage 2 and 2% stage 3 at follow-up. Seventy-eight percent of the women had no bulge symptoms, and 73% of the women considered their condition improved.
At 5-year follow-up 78 % was relieved from their bulge symptoms by an operation using local anesthesia. Eleven percent of the women had been reoperated.