eISSN: 2299-0038
ISSN: 1643-8876
Menopause Review/Przegląd Menopauzalny
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1/2021
vol. 20
 
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abstract:
Original paper

Surgical and quality of life outcomes after pelvic organ prolapse surgery in older postmenopausal women

Mohamed M. Farghali
1
,
Abeer Abdelzaher
2
,
Ibrahim A. Abdelazim
1, 3

  1. Department of Obstetrics and Gynecology, Ain Shams University, Cairo, Egypt
  2. Department of Geriatric Medicine, Ain Shams University, Cairo, Egypt
  3. Department of Obstetrics and Gynecology, Ahmadi Hospital, Kuwait Oil Company (KOC), Kuwait
Menopause Rev 2021; 20(1): 21-28
Online publish date: 2021/03/15
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Introduction
To evaluate the surgical outcome, and quality of life (QoL) 12-months after Le Fort colpocleisis (LFC), and sacrospinous fixation (SSF) in older postmenopausal women.

Material and methods
Eighty-six (86) post-menopausal women were included in this study (38 in the LFC group and 48 in the SSF group). Pelvic organ prolapse quantification (POP-Q) was used to evaluate the participants’ pelvic organ prolapse (POP) pre-operatively and post-operatively (PO). The Arabic version of the WHOQoL-BREF Inventory was used to evaluate the participants’ QoL preoperatively and post-operatively. The surgical outcome and QoL 12-months after LFC and SSF were analysed to evaluate the surgical outcome, as well as QoL 12 months after LFC and SSF.

Results
The pre-operative Aa, Ba, D, Ap, and Bp values of POP-Q significantly improved 12 months PO in the LFC group (p1 = 0.004, 0.0006, 0.02, 0.004, and 0.0001; respectively), and in the SSF group (p1 = 0.003, 0.0003, 0.003, 0.0005, and 0.01, respectively). Eighty (93.02%) of the studied women had no prolapse at 12-month PO follow-up. The 12-month PO psychological and social health domains were significantly higher in the SSF group compared to the LFC group (p2 = 0.04, and 0.02, respectively). In addition, the 12-month PO general health satisfaction and total QoL scores were significantly higher in the SSF group compared to the LFC group (p2 = 0.03 and 0.01, respectively).

Conclusions
LFC can be considered a good surgical procedure with minimal or neglectable complications for POP in older postmenopausal women with multiple co-morbidities. The psychological and social health domains, general health satisfaction, and total QoL score were significantly higher in the SSF group compared to LFC group 12 months PO.

keywords:

quality of life, pelvic organ prolapse, menopause

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