What are patient goals after an anterior colporrhaphy operation?

Kousgaard, Sabrina Just; Bjørk, Jonna; Glavind, Karin

doi:10.1016/j.ejogrb.2017.08.004

Cited by 6 publications

(4 citation statements)

References 13 publications

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“…The patients expressed some concern when carrying out physical activities, and trying to have intercourse for fear that the vaginal protrusion would occur again. 18…”

Section: Discussionmentioning

confidence: 99%

The treatment for closure of the bladder neck via transvaginal approach

Castro,

Gonzalez,

Gomez

et al. 2023

Int Surg J

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Urinary incontinence is described as the involuntary loss of urine due to an increase in intra-abdominal pressure combined with a lack of contraction of the detrusor muscle. The most common being stress incontinence, as it occurs in 30% of women between 30 and 60 years old. There is another condition called hidden stress incontinence as a result of a coiling of the urethra that causes obstruction in its lumen. This can manifest itself when performing any activity that involves effort, such as coughing or sneezing. Nowadays there are numerous surgical interventions for the treatment of these pathologies, so there is a discrepancy in the choice of the appropriate surgical technique to correct these conditions in isolation.

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“…The patients expressed some concern when carrying out physical activities, and trying to have intercourse for fear that the vaginal protrusion would occur again. 18…”

Section: Discussionmentioning

confidence: 99%

The treatment for closure of the bladder neck via transvaginal approach

Castro,

Gonzalez,

Gomez

et al. 2023

Int Surg J

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“…Almost half of the women reported moderate to severe distress associated with POP. In addition, some women reported mechanical symptoms arising from the "bulging" [16]. Nearly one quarter of women reported an adverse effect of POP on brisk walking and strenuous exercise [14].…”

Section: Appendix 2]mentioning

confidence: 99%

“…Relieving voiding symptoms, improvement in quality of life on physical activity and quality of life in the emotional aspect were also goals following resolution of bulge symptoms [16]. Therefore, from the patient perspective, the most important definition of POP treatment success was absence of vaginal bulge symptoms postoperatively [18,19].…”

Section: Appendix 2]mentioning

confidence: 99%

“…Therefore, from the patient perspective, the most important definition of POP treatment success was absence of vaginal bulge symptoms postoperatively [18,19]. The absence of vaginal bulge symptoms after an operation has a significant correlation with a patient's assessment of overall improvement and achievement, while anatomic success alone does not [16,19].…”

Section: Appendix 2]mentioning

confidence: 99%

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International Urogynaecology Consultation chapter 1 committee 4: patients’ perception of disease burden of pelvic organ prolapse

et al. 2022

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Introduction and Hypothesis: This manuscript from Chapter 1 of the International Urogynecology Consultation (IUC) on Pelvic Organ Prolapse (POP) reports on the patient's perception of disease burden associated with pelvic organ prolapse. 4Materials and Methods: An international group containing a team of eight urogynaecologists, a physiotherapist and a statistician performed a search of the literature using pre-specified search terms in PubMed and Embase (January/2000 to August/2020). The division of sections within this report includes: 1). Perception of POP and the relationship with body image and poor health; 2). A vaginal bulge as it impacts health and well-being in women; 3). The impact of POP on Sexual life; 4). Body image and pelvic floor disorders; 5). POP and mood; 6). Appropriate use of treatment goals to better meet patients expected benefits; 7). Using health related quality of life questionnaires to quantify patient's perception of POP; 8). The financial burden of POP to patients and society. Abstracts were reviewed and publications were eliminated if not relevant or did not include populations with POP or were not relevant to the subject areas as noted by the authors. The manuscripts were next reviewed for suitability using the Specialist Unit for Review Evidence (SURE) checklists for cohort, cross sectional and case-control epidemiologic studies.Results: The original individual literature searches yielded 2312 references of which 190 were used in the final manuscript. The following perceptions were identified: 1) Women were found to have varying perceptions of POP including shame and embarrassment. Some regard POP as consequence of ageing and consider there is no effective therapy. 2) POP is perceived as a vaginal bulge and effects lifestyle and emotional wellbeing. The main driver for treatment is absence of bulge sensation. 3) POP is known to affect frequency of sexual intercourse but has less impact on satisfaction. 4) Prolapse specific body image and genital self-image is an important component of a women's emotional, physical and sexual wellbeing. 5) POP is commonly associated with depression and anxiety symptoms which impact HRQoL although are not correlated with objective anatomical findings. 6) Patient centered treatment goals are useful in facilitating communication, shared decision making and expectations before and after reconstructive surgery. 7) Disease specific HRQoL questionnaires are important tools to assess bother and outcome following surgery and there are now several tools with Level 1 evidence and a 5 Grade A recommendation. 8) The cost of POP to the individual and to society is considerable in terms of productivity. In general, conservative measures tend to be more cost effective than surgical intervention.Conclusions: Patient's perception of POP varies in different patients and has a far-reaching impact on their overall state of health and well-being. However, recognizing that it is a combination of body image and overall health (which affects mental health) allows clinicians...

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