Archives of Gynecology and Obstetrics

, Volume 287, Issue 3, pp 441–446

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


  • Mohamed Hefni
    • Gynaecology DepartmentBenenden Hospital
  • John A. Barry
    • Institute for Women’s HealthUniversity College London
    • Obstetrics and Gynaecology DepartmentUniversity Hospital of Larissa
  • Julie Meredith
    • Gynaecology DepartmentBenenden Hospital
  • Mohamed Mossa
    • Gynaecology DepartmentBenenden Hospital
  • Simon Edmonds
    • Gynaecology DepartmentBenenden Hospital
General Gynecology

DOI: 10.1007/s00404-012-2583-0

Cite this article as:
Hefni, M., Barry, J.A., Koukoura, O. et al. Arch Gynecol Obstet (2013) 287: 441. doi:10.1007/s00404-012-2583-0



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.


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.


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 (rs = −.360, n = 49, P < .011). There were high QoL scores at an average 2 years after anterior compartment mesh repair.


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.


Anterior compartmentCystocelePatient satisfactionQuality of lifeSurgical mesh

Copyright information

© Springer-Verlag Berlin Heidelberg 2012