A 2-Year Evaluation of Quality of Life Outcomes of Patients With Pelvic Organ Prolapse Treated With an Elevate Prolapse Repair System

Buca, D.; Leombroni, Martina; Falò, Eleonora; Bruno, Matteo; Santarelli, Alessandro; Frondaroli, Franco; Liberati, Marco; Fanfani, Francesco

doi:10.1097/spv.0000000000000310

Cited by 8 publications

(3 citation statements)

References 28 publications

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“…There were two main procedures for vaginal surgeries: reconstructive (in two subgroups, including repair with natural tissue [ 17 , 19 , 20 , 23 , 24 , 31 , 36 , 37 , 38 , 60 , 61 , 63 , 64 , 65 , 66 ] ( Table 2 ) and repair with mesh [ 7 , 9 , 12 , 21 , 25 , 26 , 29 , 32 , 35 , 39 , 40 , 41 , 42 , 43 , 44 , 55 , 62 , 67 , 68 , 69 , 78 , 82 , 83 , 85 ]) ( Table 3 ) and obliterative surgeries [ 18 , 27 , 60 , 71 , 72 , 73 , 86 ] ( Table 4 ). In one study, obliterative surgery and sacrospinous fixation in older postmenopausal women were compared, and the QoL was better in the sacrospinous group [ 18 ].…”

Section: Resultsmentioning

confidence: 99%

Quality of Life Following Pelvic Organ Prolapse Treatments in Women: A Systematic Review and Meta-Analysis

Ghanbari

Ghaemi

Shafiee

et al. 2022

JCM

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Introduction: Quality of life (QoL) improvement is one of the main outcomes in the management of pelvic organ prolapse as a chronic illness in women. This systematic review aimed to investigate the impact of surgical or pessary treatment for pelvic organ prolapse (POP) on quality of life. Methods: Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) was applied. Electronic databases, including PubMed, Scopus, and Web of Science, were searched for original articles that evaluated the QoL before and after surgical interventions or pessary in pelvic organ prolapse from 1 January 2012 until 30 June 2022 with a combination of proper keywords. Included studies were categorized based on interventions, and they were tabulated to summarize the results. Results: Overall, 587 citations were retrieved. Of these, 76 articles were found eligible for final review. Overall, three categories of intervention were identified: vaginal surgeries (47 studies), abdominal surgeries (18 studies), and pessary intervention (11 studies). Almost all interventions were associated with improved quality of life. The results of the meta-analysis showed a significant association between the employment of surgical approach techniques (including vaginal and abdominal surgeries) and the quality of life (Pelvic Floor Distress Inventory (PFDI) (MD: −48.08, 95% CI: −62.34 to −33.77, p-value < 0.01), Pelvic Floor Impact Questionnaire (PFIQ) (MD: −33.41, 95% CI: −43.48 to −23.34, p < 0.01)) and sexual activity of patients with pelvic organ prolapse (Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire (PISQ) (MD: 4.84, 95% CI: 1.75 to 7.92, p < 0.01)). Furthermore, narrative synthesis for studies investigating the effect of the pessary approach showed a positive association between the use of this instrument and improvement in the quality of life and sexual activity. Conclusions: The results of our study revealed a significant improvement in the women’s quality of life following abdominal and vaginal reconstructive surgery. The use of pessary was also associated with increased patient quality of life.

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Section: Resultsmentioning

confidence: 99%

Quality of Life Following Pelvic Organ Prolapse Treatments in Women: A Systematic Review and Meta-Analysis

Ghanbari

Ghaemi

Shafiee

et al. 2022

JCM

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“…Pelvic organ prolapse (POP) occurs when the uterus or vagina descends from its normal anatomical position, and it is associated with a lifetime risk of up to 12% for women by the age of 80 years [1][2][3][4]. Almost one-third of patients with POP complain about their quality of life (QoL) worsening due to the condition [5]. The POP incidence rate is expected to increase in the next 40 years, with as many as five million women estimated to be affected by 2050, with a reoperation rate of 30% [1,6].…”

Section: Introductionmentioning

confidence: 99%

Chronic Pelvic Pain, Quality of Life, and Patient Satisfaction After Robotic Sacrocolpopexy for Pelvic Organ Prolapse

Patel¹,

Faldu²,

Fayed³

et al. 2022

Cureus

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Background and objectiveWhen evaluating repair outcomes in robotic sacrocolpopexy (RSC) for the treatment of pelvic organ prolapse (POP), it has become evident that surgeons usually focus on anatomical improvements and neglect equally important parameters of patient satisfaction and quality of life (QoL). Investigating these factors would aid in achieving a more patient-centered approach to treatment. This study aimed to examine QoL and satisfaction outcomes in women after RSC. MethodsThis study analyzed self-reported patient data regarding RSC for POP performed between October 2009 and February 2017 by fellowship-trained urologists in female pelvic medicine and reconstructive surgery. These patients participated in a survey to assess overall satisfaction and QoL, as well as contributing factors, such as changes in bladder and bowel function, vaginal bulge, and vaginal pain on a 7-point Likert scale (ranging from markedly worse to markedly improved). Data were examined using multivariate regression analysis. Positive treatment response was defined as scores of 6 or 7, whereas negative response was defined as scores of 1 to 5. ResultsThe response rate was 41% (156/380), and the median age of the participants was 70 years [interquartile range (IQR): 63, 73]. Of note, 98.7% were Caucasian, with 73% currently in a significant relationship. The median duration since RSC was 2.12 years (IQR: 1.2, 3.7). Overall, 93 (66.9%), patients (23.0%), and 123 patients (88.5%) had a positive treatment response for bladder function, bowel function, and vaginal bulge, respectively. Furthermore, 66% of women had improved QoL, 84% reported improved overall satisfaction, and 91.4% stated that they would recommend RSC to a friend. After controlling for significant covariates, results of a multivariate analysis demonstrated positive treatment response for bladder function [odds ratio (OR): 14.6; p < 0.0001], bowel function (OR: 9.72; p = 0.003), and vaginal bulge (OR: 41.7; p < 0.0001), significantly associated with increased odds of having improved QoL, whereas positive treatment response for vaginal bulge (OR: 26.9; p = 0.023) and recommending RSC to a friend (OR: 175; p = 0.0009) were associated with positive overall satisfaction. ConclusionsOur findings endorse using RSC surgery for patients with POP based on both QoL improvement and overall post-procedure satisfaction perspective. This study may help encourage surgeons and clinicians to employ a surgical modality that incorporates each patient's unique treatment desires and goals and provide patients with realistic post-procedure goals and expectations regarding treatment.

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“…Nossos resultados estão de acordo com dados da literatura e suportam os preceitos da teoria integral (67,68).…”

Section: Prevenção De Complicações (48)unclassified

Impacto da correção cirúrgica do prolapso apical genital na qualidade de vida das mulheres

Junior¹,

Orestes²

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Aos meus filhos, Marcelo, Mauricio e Erika, à minha irmãRegina e meu cunhado Silvio, que sempre me incentivaram a desenvolver esse trabalho. Aos meus pais Orestes e Ernesta em memória, estimuladores da cultura da educação desde meu nascimento. Ao meu irmão Celso que me introduziu na arte urológica. Agradecimentos Ao meu orientador, Professor Dr. Paulo César Rodrigues Palma, ícone da Uroginecologia Brasileira. Grande responsável pela minha evolução e pela formação de excelentes profissionais no decorrer de sua sólida, ética e edificante trajetória acadêmica, pelo seu grande conhecimento, amizade e dedicação. À minha coorientadora Professora Dra. Sophia Souto, por sua perseverante luta para o desenvolvimento da ciência e do conhecimento. Seu convívio foi sempre prazeroso e engrandecedor, em cada conversa ou instrução.

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A 2-Year Evaluation of Quality of Life Outcomes of Patients With Pelvic Organ Prolapse Treated With an Elevate Prolapse Repair System

Cited by 8 publications

References 28 publications

Quality of Life Following Pelvic Organ Prolapse Treatments in Women: A Systematic Review and Meta-Analysis

Quality of Life Following Pelvic Organ Prolapse Treatments in Women: A Systematic Review and Meta-Analysis

Chronic Pelvic Pain, Quality of Life, and Patient Satisfaction After Robotic Sacrocolpopexy for Pelvic Organ Prolapse

Impacto da correção cirúrgica do prolapso apical genital na qualidade de vida das mulheres

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