Abstract
The objective was to study the effect of colpocleisis on pelvic support, symptoms, and quality of life and report-associated morbidity and postoperative satisfaction. Women undergoing colpocleisis for treatment of pelvic organ prolapse (POP) were recruited at six centers. Baseline measures included physical examination, responses to the Pelvic Floor Distress Inventory, and Pelvic Floor Impact Questionnaire. Three and 12 months after surgery we repeated baseline measures. Of 152 patients with mean age 79 (±6) years, 132 (87%) completed 1 year follow-up. Three and 12 months after surgery, 90/110 (82%) and 75/103 (73%) patients following up had POP stage ≤1. All pelvic symptom scores and related bother significantly improved at 3 and 12 months, and 125 (95%) patients said they were either ‘very satisfied’ or ‘satisfied’ with the outcome of their surgery. Colpocleisis was effective in resolving prolapse and pelvic symptoms and was associated with high patient satisfaction.
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Acknowledgements
Supported by grants from the National Institute of Child Health and Human Development (U01 HD41249, U10 HD41268, U10 HD41248, U10 HD41250, U10 HD41261, U10 HD41263, U10 HD41269, and U10 HD41267) and the National Institute of Diabetes, Digestive and Kidney Diseases (K24 DK068389).
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Appendix
Body image and satisfaction
We were interested in learning about how women feel after prolapse surgery. There are no right or wrong answers. We are just interested in learning about how you feel after your surgery. I will start with the first question:
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FitzGerald, M.P., Richter, H.E., Bradley, C.S. et al. Pelvic support, pelvic symptoms, and patient satisfaction after colpocleisis. Int Urogynecol J 19, 1603–1609 (2008). https://doi.org/10.1007/s00192-008-0696-6
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DOI: https://doi.org/10.1007/s00192-008-0696-6