Michele Carlo Schiavi1,2, Giorgia Perniola3, Violante Di Donato3, Virginia Sibilla Visentin3, Flaminia Vena3, Anna Di Pinto3, Marzio Angelo Zullo4, Marco Monti3, Pierluigi Benedetti Panici3. 1. Department of Gynecology, Obstetrics and Urology, Umberto I, ''Sapienza'' University of Rome, Rome, Italy. michelecarlo.schiavi@gmail.com. 2. Department of Gynecological and Obstetric Sciences, and Urological Sciences, Umberto I Hospital, University of Rome "Sapienza", Viale del Policlinico 155, 00161, Rome, Italy. michelecarlo.schiavi@gmail.com. 3. Department of Gynecology, Obstetrics and Urology, Umberto I, ''Sapienza'' University of Rome, Rome, Italy. 4. Department of Surgery-Week Surgery, Campus Biomedico, University of Rome, Rome, Italy.
Abstract
AIMS: The aim of this study was to assess the effectiveness and safety of vaginal native tissue repair (VNTR) as a surgical treatment for severe pelvic organ prolapse (POP) and, second, to evaluate the impact on the quality-of-life (QoL) and sexual function. METHODS: Women with symptomatic POP (≥III stage according to POP Quantification System) with or without stress urinary incontinence (SUI) underwent VNTR. The clinical stage, 3-day voiding diary, and urodynamic testing were evaluated in the preoperative and postoperative times, respectively. The International Consultation on Incontinence Questionnaire-Urinary Incontinence Questionnaire Short Form (ICIQ-UI SF), the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire short form (PISQ-12), and the prolapse quality-of-life questionnaire (P-QoL) were administered. RESULTS: One hundred forty-six patients were recruited. The median follow-up was 48 months (36-63). Fifty-two women (36%) had a previous hysterectomy, and 16 (11%) had a previous prolapse/continence surgery. Preoperatively, 135 (92.5%), 109 (74.7%), and 98 (67.1%) patients had anterior, central, and posterior descent ≥III stage, respectively. Thirty-two patients (22%) had concomitant diagnosis of SUI. Median operative time was 85 min (37-154), and median postoperative hospital stay was 2 days (2-4). No intraoperative severe complications occurred. At the long-term follow-up, the subjective cure rate for prolapse was 97.3% and the objective cure rate was 91.1%. A significant improvement of ICIQ-UI SF, the P-QoL, and the PISQ-12 was recorded at the follow-up (p < 0.001). CONCLUSION: VNTR is effective, safe, and durable and improves POP-related symptoms and sexual function.
AIMS: The aim of this study was to assess the effectiveness and safety of vaginal native tissue repair (VNTR) as a surgical treatment for severe pelvic organ prolapse (POP) and, second, to evaluate the impact on the quality-of-life (QoL) and sexual function. METHODS:Women with symptomatic POP (≥III stage according to POP Quantification System) with or without stress urinary incontinence (SUI) underwent VNTR. The clinical stage, 3-day voiding diary, and urodynamic testing were evaluated in the preoperative and postoperative times, respectively. The International Consultation on Incontinence Questionnaire-Urinary Incontinence Questionnaire Short Form (ICIQ-UI SF), the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire short form (PISQ-12), and the prolapse quality-of-life questionnaire (P-QoL) were administered. RESULTS: One hundred forty-six patients were recruited. The median follow-up was 48 months (36-63). Fifty-two women (36%) had a previous hysterectomy, and 16 (11%) had a previous prolapse/continence surgery. Preoperatively, 135 (92.5%), 109 (74.7%), and 98 (67.1%) patients had anterior, central, and posterior descent ≥III stage, respectively. Thirty-two patients (22%) had concomitant diagnosis of SUI. Median operative time was 85 min (37-154), and median postoperative hospital stay was 2 days (2-4). No intraoperative severe complications occurred. At the long-term follow-up, the subjective cure rate for prolapse was 97.3% and the objective cure rate was 91.1%. A significant improvement of ICIQ-UI SF, the P-QoL, and the PISQ-12 was recorded at the follow-up (p < 0.001). CONCLUSION: VNTR is effective, safe, and durable and improves POP-related symptoms and sexual function.
Entities:
Keywords:
POP surgery; Pelvic organ prolapse; Sexual function; Vaginal native tissue repair
Authors: Demisew Amenu Sori; Stephan Bretones; Georges Mellier; Bertrand de Rochambeau Journal: BMC Womens Health Date: 2022-10-07 Impact factor: 2.742