Long-term patient satisfaction with prolapse surgery in general gynecology.

This retrospective cohort study aimed to explore the factors associated with long-term success of prolapse surgery in a general gynecology setting. A chart review was performed of 528 women who had had a total of 535 operations for prolapse at least 4 years earlier. Those who had not had further pelvic floor surgery were sent a questionnaire exploring their satisfaction with surgery. The outcome could be determined for 406 (75%) of the women, of whom 238 (59%) were improved. In multivariate analyses, women were more likely to be satisfied with surgery if they were older, did not have a prior or concurrent colposuspension, if the prolapse operation included a hysterectomy and if they were operated on by one particular team. Selection of the right operation for the correct patient by the correct surgeon could improve the success of prolapse surgery.