Impact of sacrocolpopexy for the management of pelvic organ prolapse on voiding dysfunction and uroflowmetry parameters: a prospective cohort study

2022 ◽  
Author(s):  
Simone Aichner ◽  
Ivo Fähnle ◽  
Janine Frey ◽  
Jörg Krebs ◽  
Corina Christmann-Schmid
Keyword(s):  
Cohort Study ◽  
Pelvic Organ Prolapse ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Voiding Dysfunction ◽  
Pelvic Organ

scholarly journals Prevalence and clinical predictors for early post-operative urinary retention in patients undergoing pelvic reconstructive surgeries: a prospective cohort study

2018 ◽  
Vol 7 (4) ◽  
pp. 1452
Author(s):  
Annie P. Vijjeswarapu ◽  
Vaibhav Londhe ◽  
Mahasampath Gowri ◽  
Aruna Kekre ◽  
Nitin Kekre
Keyword(s):  
Cohort Study ◽  
Pelvic Organ Prolapse ◽  
Urinary Retention ◽  
Prospective Cohort Study ◽  
Reconstructive Surgery ◽  
Prospective Cohort ◽  
Pelvic Organ ◽  
P Value ◽  
Pelvic Reconstructive Surgery ◽  
Clinical Predictors

Background: Pelvic organ prolapse (POP) has a significant impact on quality of life. Post-operative voiding dysfunction is seen in 2.5 to 24% of patients following pelvic reconstructive surgery. Risk factors like age of the patient, size of the genital hiatus and stage of prolapse are known to be associated with early post-operative voiding disorders.Methods: This is a prospective cohort study done in Christian Medical College, Vellore over one year. Patients with stage II to IV pelvic organ prolapse who underwent pelvic reconstructive surgery were observed post operatively for covert and overt urinary retention. Inability to void accompanied by pain and discomfort is defined as overt retention. Early post-operative urinary retention (POUR) is retention of urine in the first 72 hours postoperatively. Covert retention is defined as a non-painful bladder with chronic high post void residue. Chi- square test or Fisher’s exact test was used to assess the association between the clinical predictors and early post-operative urinary retention in univariate analysis.Results: In this study, 75 patients were recruited. Nine patients had POUR. Among the patients who had post-operative urinary retention, 77.78% had stage III pelvic organ prolapse (n=7). P value was 0.042. The prevalence of early POUR after pelvic reconstructive surgery was 12.85 % (n=9). A 55.55% had covert retention (n=5) and 44.44% patients had overt retention (n=4).Conclusions: The prevalence of early POUR after pelvic reconstructive surgery was 12.85%. Stage of the prolapse was an independent predictor for early postoperative urinary retention.

scholarly journals Impact of Surgery on Quality of Life of Ugandan Women With Symptomatic Pelvic Organ Prolapse: A Prospective Cohort Study

2021 ◽  
Author(s):  
Musa Kayondo ◽  
Dan Kabonge Kaye ◽  
Richard Migisha ◽  
Rodgers Tugume ◽  
Paul Kalyebara Kato ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cohort Study ◽  
Pelvic Organ Prolapse ◽  
Sleep Quality ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Pelvic Organ ◽  
Sexual Life ◽  
Life Questionnaire

Abstract Background: Pelvic Organ Prolapse (POP) is a significant public health issue that negatively affects the Quality of Life (QOL) of women in both low- and high-income countries. About 20% of women will undergo surgery for POP over their lifetime. However, there is a paucity of information on the effect of surgery on QOL especially in resource limited settings. We therefore sought to determine the QOL among women with symptomatic POP living in rural southwestern Uganda and the impact of surgery on their quality of life.Methods: We conducted a prospective cohort study among 120 women with symptomatic POP awaiting surgery at the urogynecology unit of Mbarara Regional Referral Hospital. The QOL at baseline and at 1 year after surgery in the domains of physical performance, social interaction, emotion state, sexual life, sleep quality, personal hygiene and urinary bladder function was determined using a King’s Quality of Life questionnaire. A paired t- test was used to compare the difference in mean scores at baseline and at 1-year post-surgery. Results: Of the 120 participants that were enrolled at baseline, 117(98%) completed the follow-up at 1 year. The baseline QOL was poor. The domains with the poorest QOL were physical, social, sexual, emotional and sleep quality. The mean QOL scores in all the domains and the overall QOL significantly improved 1 year after surgery (p<0.001). The overall QOL improved by 38.9% after surgery (p < 0.001).Conclusion: The QOL was poor among women with symptomatic POP and surgery improved the QOL in all the domains of life. We recommend that surgery as an option for treatment of symptomatic POP should be scaled up to improve on the QOL of these women.

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