Role of preoperative and postoperative pelvic floor distress inventory-20 in evaluation of posthysterectomy vault prolapse

Abstract

Background: Posthysterectomy vault prolapse is a common problem after vaginal or abdominal hysterectomy. The objective was to assess the role of Pelvic Floor Distress Inventory 20 (PFDI-20) in evaluation of vault prolapse. Materials and Methods: Prospective study in 20 women with posthysterectomy vault prolapse of Stage 2 and above. The outcome measure was to calculate PFDI-20 score in all cases before surgical intervention and to recalculate it again in 6 months after different surgical procedures for vault prolapse and to statistically compare the PFDI-20 score in different types of surgery over 4 years period at a tertiary referral hospital for surgical treatment. Prolapse was classified using Pelvic Organ Prolapse Quantification and intraoperative findings. All women were operated for vault prolapse as per hospital protocol and stage of prolapse by either vaginal sacrospinous fixation or abdominal sacrocolpopexy. Results: Mean age, parity, and body mass index were 54.8 years, 3.5, and 22.71 kg/m 2 respectively. Preceding surgery was vaginal hysterectomy in 75% women and abdominal hysterectomy in 25% women. Complaints were bulge or mass feeling at perineum (100%), pressure in lower abdomen and perineum (55%), and constipation (60%). The type of prolapse was vault prolapse (100%), cystocele (100%), rectocele (100%), and enterocele (45%). The range of PFDI-20 was 88–152 with mean being 123.50 ± 22.71 before surgery while its range decreased significantly to 80–126 with mean being 106.40 ± 16.45 after surgery ( P < 0.01). Mean postoperative PFDI-20 score was 107.40 in vaginal sacrospinous fixation group and was 105.30 in abdominal sacrocolpopexy group and was not statistically different ( P = 0.18). Conclusion: PFDI-20 score can be used to see the adverse impact of vault prolapse on pelvic floor and to assess the beneficial effect of different types of surgeries on the score.

Efficacy of mesh bilaterally sacrospinous ligament suspension versus laparoscopic sacrocolpopexy in patients with uterine prolapse

“…The results of this study found that the quality of life of the two groups was comparable 6 and 12 months after surgery (P > 0.05), suggesting that both MSSLS and LSC could improve the quality of life of patients with uterine prolapse. PFDI-20 is one of the important scales to evaluate the recovery of pelvic oor function 11 . Chen S. 24 reported that LSC signi cantly improved pelvic oor function and sexual life quality in patients with uterine prolapse.…”

“…The recovery of pelvic oor function of patients was evaluated using the Pelvic Floor Distress Inventory-20 (PFDI-20) 11 before and 3 months after the operation. The questionnaire includes 20 items of pelvic organ prolapse (POP) symptoms, which are divided into three subscales: pelvic organ prolapse distress inventory (POPDI), colorectal-anal distress inventory (CRADI) and urination distress inventory (UDI).…”