LAPAROSCOPIC PROMONTOFIXATION IN APICAL FORMS OF PELVIC ORGAN PROLAPSE: ANATOMIC, FUNCTIONAL AND PATIENT-REPORTED QUALITY OF LIFE OUTCOMES
Introduction. Pelvic organ prolapse (POP) has been increasing in recent years for both developed and developing countries.
Objective. To evaluate anatomic, functional and patient-reported quality of life outcomes of laparoscopic promontofixation for apical forms of POP.
Methods. This was a single-center observational study conducted at the Clinical Academic Department of Women’s Health, University Medical Center between January 2019 and August 2021. A cohort of 55 patients receiving laparoscopic promontofixation following a diagnosis of apical or anterior-apical prolapses with grade III–IV. The anatomic and functional cure characteristics, also subjective patient’s evaluation were included in this study. Primary outcomes were anatomic, functional, and subjective cures, that were measured pre- and postoperatively using the POP-Q system values and validated questionnaires. Secondary outcome measures included data on surgical complications. Data analysis was performed with descriptive statistics, Wilcoxon tests, and Mann–Whitney U-tests.
Results. A total of 55 patients underwent laparoscopic promontofixation. An objective anatomic cure was reported for 94.6% of patients, and significant improvement of all prolapse symptoms was observed following surgery. Only three patients (5.4%) experienced postoperative dyspareunia de novo. Analysis of validated questionnaires` results showed significant improvement of quality of life and sexual activity after surgical treatment (p < 0.001). No other complications requiring medical or surgical interventions were reported.
Conclusion. Laparoscopic promontofixation was associated with excellent anatomic, functional, and subjective results at follow-up. These findings raise questions about the need for long-term results of quality-of-life outcomes after surgical treatment.
Serik Iskakov1, https://orcid.org/0000-0002-8057-1457
Botagoz Aitbayeva1, https://orcid.org/0000-0001-6773-3936
Zhanylsyn Ryspayeva2, https://orcid.org/0000-0003-1748-6548
1 NCJSC “Astana Medical University”, 2nd Department of Obstetrics and Gynecology,
Astana, Republic of Kazakhstan;
2 NCJSC “Semey Medical University”, Department of Obstetrics and Gynecology named after A.A. Kozbagarov, Semey c., Republic of Kazakhstan.
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Iskakov S., Aitbayeva B., Ryspayeva Zh. Laparoscopic promontofixation in apical forms of pelvic organ prolapse: anatomic, functional and patient-reported quality of life outcomes // Nauka i Zdravookhranenie [Science & Healthcare]. 2022, (Vol.24) 6, pp. 26-31. doi 10.34689/SH.2022.24.6.004Похожие публикации:
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