1. Quality of life after Uphold™ Vaginal Support System surgery for apical pelvic organ prolapse-A prospective multicenter study.
- Author
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Rahkola-Soisalo, Päivi, Altman, Daniel, Falconer, Christian, Morcos, Edward, Rudnicki, Martin, and Mikkola, Tomi S.
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PELVIC organ prolapse treatment , *QUALITY of life , *CYSTOCELE , *FOLLOW-up studies (Medicine) , *MUSCLES , *PELVIC floor , *COMPARATIVE studies , *LONGITUDINAL method , *RESEARCH methodology , *MEDICAL cooperation , *PATIENT satisfaction , *RESEARCH , *SELF-evaluation , *SURGICAL complications , *EVALUATION research , *SEVERITY of illness index , *PELVIC organ prolapse , *SURGICAL meshes , *DISEASE complications , *SURGERY ,VAGINAL surgery ,PREVENTION of surgical complications - Abstract
Objective: To study the effects on quality of life in women operated for apical pelvic organ prolapse using the Vaginal Uphold™ System.Study Design: In this prospective cohort study, women (n=207) with symptomatic apical prolapse, with or without cystocele, were operated using the Uphold™ Vaginal Support System. Follow-up for quality of life was performed at 12 months after surgery, and assessed by the PFDI-20, and PFIQ-7, and sexual function by the PISQ-12. We used odds ratios (ORs) with 95% confidence intervals (CIs) for outcome association analyses using logistic regression.Results: At one-year follow-up majority of women experienced an overall postoperative improvement in quality of life (p<0.001). One year after surgery Uphold™ operation alone increased the risk for prolapse related bother as compared to Uphold™ combined with anterior colporraphy (POP-IQ-7; OR 2.1; 95% CI 1.01-4.3). The frequency of dyspareunia decreased postoperatively (p=0.004), however, after one-year, overall sexual function deteriorated significantly (p<0.001). The worsening in sexual function scores was mainly attributed to the partner related domain, whereas the behavioral-emotive and physical domains showed no significant changes.Conclusion: Apical prolapse repair using Uphold™ improved quality of life among our patients but worsened overall sexual function postoperatively. [ABSTRACT FROM AUTHOR]- Published
- 2017
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