Pelvic support, pelvic symptoms, and patient satisfaction after colpocleisis

被引：111

作者：

FitzGerald, M. P. ^{[1
]}

Richter, H. E. ^{[2
]}

Bradley, C. S. ^{[3
]}

Ye, W. ^{[4
]}

Visco, A. C. ^{[5
]}

Cundiff, G. W. ^{[6
]}

Zyczynski, H. M. ^{[7
]}

Fine, P. ^{[8
]}

Weber, A. M. ^{[9
]}

机构：

[1] Loyola Univ, Div Female Pelv Med & Reconstruct Surg, Med Ctr, Maywood, IL 60153 USA

[2] Univ Alabama, Birmingham, AL USA

[3] Univ Iowa, Iowa City, IA USA

[4] Univ Michigan, Ann Arbor, MI 48109 USA

[5] Univ N Carolina, Chapel Hill, NC USA

[6] Univ British Columbia, Vancouver, BC V5Z 1M9, Canada

[7] Univ Pittsburgh, Pittsburgh, PA USA

[8] Baylor Coll Med, Houston, TX 77030 USA

[9] NICHHD, Bethesda, MD 20892 USA

来源：

INTERNATIONAL UROGYNECOLOGY JOURNAL | 2008年 / 19卷 / 12期

关键词：

Pelvic organ prolapse; Urinary incontinence; Pelvic floor disorders; Colpocleisis; Quality of life; Surgical outcomes;

D O I：

10.1007/s00192-008-0696-6

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

The objective was to study the effect of colpocleisis on pelvic support, symptoms, and quality of life and report-associated morbidity and postoperative satisfaction. Women undergoing colpocleisis for treatment of pelvic organ prolapse (POP) were recruited at six centers. Baseline measures included physical examination, responses to the Pelvic Floor Distress Inventory, and Pelvic Floor Impact Questionnaire. Three and 12 months after surgery we repeated baseline measures. Of 152 patients with mean age 79 (+/- 6) years, 132 (87%) completed 1 year follow-up. Three and 12 months after surgery, 90/110 (82%) and 75/103 (73%) patients following up had POP stage <= 1. All pelvic symptom scores and related bother significantly improved at 3 and 12 months, and 125 (95%) patients said they were either 'very satisfied' or 'satisfied' with the outcome of their surgery. Colpocleisis was effective in resolving prolapse and pelvic symptoms and was associated with high patient satisfaction.

引用

页码：1603 / 1609

页数：7

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