Long-term quality of life and patient satisfaction following anterior vaginal mesh repair for cystocele
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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 (r s = −.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.
KeywordsAnterior compartment Cystocele Patient satisfaction Quality of life Surgical mesh
Conflict of interest
We declare that we have no conflict of interest.
- 1.Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J, Monga A, Petri E, Rizk DE, Sand PK, Schaer GN (2010) An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J 21:5–26PubMedCrossRefGoogle Scholar
- 8.Vollebregt A, Fischer K, Gietelink D, van der Vaart CH (2011) Primary surgical repair of anterior vaginal prolapse: a randomised trial comparing anatomical and functional outcome between anterior colporrhaphy and trocar-guided transobturator anterior mesh. BJOG 118:1518–1527PubMedCrossRefGoogle Scholar
- 15.The EuroQol Group (1990) EuroQol—a new facility for the measurement of health-related quality of life. Health Policy 16:199–208Google Scholar
- 19.Moore RD, Beyer RD, Jacoby K, Freedman SJ, McCammon KA, Gambla MT (2010) Prospective multicenter trial assessing type I, polypropylene mesh placed via transobturator route for the treatment of anterior vaginal prolapse with 2-year follow-up. Int Urogynecol J Pelvic Floor Dysfunct 21:545–552CrossRefGoogle Scholar
- 20.de Tayrac R, Devoldere G, Renaudie J, Villard P, Guilbaud O, Eglin G, French Ugytex Study Group (2007) Prolapse repair by vaginal route using a new protected low-weight polypropylene mesh: 1-year functional and anatomical outcome in a prospective multicentre study. Int Urogynecol J Pelvic Floor Dysfunct 18:251–256PubMedCrossRefGoogle Scholar