HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Hullfish, K. L. Articles by Steers, W. D. Search for Related Content PubMed PubMed Citation Articles by Hullfish, K. L. Articles by Steers, W. D.

Colpocleisis for Pelvic Organ Prolapse

Patient Goals, Quality of Life, and Satisfaction

From the ¹Departments Obstetrics and Gynecology, ²Health Evaluation Sciences, and ²Urology, University of Virginia Health System, Charlottesville, Virginia.

OBJECTIVE: To assess patient-centered colpocleisis outcomes in women.

METHODS: This is a prospective cohort study. Between March 2000 and December 2005, 94 patients underwent colpocleisis. Patients completed follow-up questionnaires about their personal postoperative goal attainment satisfaction with care, regrets about surgery, as well as the Incontinence Impact Questionnaire and Urogenital Distress Inventory.

RESULTS: Forty patients (42.6% of all patients) returned questionnaires with complete data on study outcomes. Mean age was 75.4 years (±6.8 years), and mean weight was 70.9 kg (±10.8 kg). Mean follow up was 2.75 years (±1.90 years). Most women agreed or strongly agreed that their goals were met for vaginal pressure (100%), urinary incontinence (84.9%), bladder emptying (76.4%), urinary frequency/urgency (91.2%), physical activity (88.6%), restoration of normal anatomy (95 %), colorectal symptoms (65.0%), and self-image (96.9%). Mean goal attainment (1.4±0.6) was associated with the postsurgery Urogenital Distress Inventory (r=–0.45, P=.003.) although not the Incontinence Impact Questionnaire. Mean scores improved presurgery to postsurgery for both the Urogenital Distress Inventory (39.9±24.9 versus 21.0±20.3, P<.01) and the Incontinence Impact Questionnaire (35.4±29.3 versus 17.3±24.6, P<.01). Ninety-five percent of respondents were either "very satisfied" or "satisfied" with their surgical outcome, while 5% reported postoperative regret. Of the entire series, 19.1% experienced postoperative complications.

CONCLUSION: Colpocleisis results in improved quality of life and substantial goal attainment, with a low proportion of regret.

LEVEL OF EVIDENCE: II