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Am J Obstet Gynecol ; 199(6): 694.e1-6, 2008 Dec.
Article in English | MEDLINE | ID: mdl-18986641

ABSTRACT

OBJECTIVE: To evaluate anatomic and quality-of-life outcomes at 1-year or greater after treatment of posthysterectomy prolapse with the Prolift procedure. STUDY DESIGN: A retrospective repeated measures study comparing preoperative and 1-year or greater postoperative outcomes, including Pelvic Organ Prolapse Quantification measurements, Urogenital Distress Inventory, and Incontinence Impact Questionnaire scores. RESULTS: Ninety-seven patients were included, with a median follow-up of 19.0 months. Forty-six anterior, 28 posterior, and 23 total Prolift procedures were performed. At 1 year, Pelvic Organ Prolapse Quantification values were significantly improved, as were scores for Incontinence Impact Questionnaire, the Urogenital Distress Inventory, and its subscales, with the greatest improvement seen in the obstructive/discomfort subscale. Anatomical success (/= stage 2 in the untreated vaginal compartment. CONCLUSION: Significant anatomic and quality-of-life improvements among patients undergoing the Prolift procedure for posthysterectomy prolapse were demonstrated.


Subject(s)
Hysterectomy/adverse effects , Quality of Life , Surgical Mesh , Urinary Incontinence, Stress/surgery , Uterine Prolapse/surgery , Adult , Age Factors , Aged , Aged, 80 and over , Cohort Studies , Female , Follow-Up Studies , Humans , Hysterectomy/methods , Middle Aged , Probability , Retrospective Studies , Risk Assessment , Severity of Illness Index , Suburethral Slings , Time Factors , Treatment Outcome , Urinary Incontinence, Stress/etiology , Uterine Prolapse/etiology
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