Intermediate-term follow-up of laparoscopic pectopexy cases and their effects on sexual function and quality of life: a cross-sectional study
ABSTRACT BACKGROUND: Apical prolapsus refers to downward displacement of the vaginal apex, uterus or cervix. Pelvic organ prolapse (POP) can significantly affect women’s daily activities and sexuality. OBJECTIVE: To investigate, at the mid-term follow-up after laparoscopic pectopexy surgery, wheth...
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| Format: | Article |
| Language: | English |
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Associação Paulista de Medicina
2022-06-01
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| Series: | São Paulo Medical Journal |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802022005014202&lng=en&tlng=en |
| _version_ | 1818468697597018112 |
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| author | Selami Erdem |
| author_facet | Selami Erdem |
| author_sort | Selami Erdem |
| collection | DOAJ |
| description | ABSTRACT BACKGROUND: Apical prolapsus refers to downward displacement of the vaginal apex, uterus or cervix. Pelvic organ prolapse (POP) can significantly affect women’s daily activities and sexuality. OBJECTIVE: To investigate, at the mid-term follow-up after laparoscopic pectopexy surgery, whether this procedure improved the patients’ quality of life and sexual function. DESIGN AND SETTING: In this cross-sectional study, data on patients who underwent laparoscopic pectopexy in the Gazi Yasargil Education and Research Hospital were evaluated. METHODS: Thirty-five patients with symptomatic apical prolapse and POP quantification stage II and higher were included in this study. We used the Turkish version of the female sexual function index (FSFI) questionnaire to assess preoperative and postoperative sexual dysfunction, and the Turkish version of the Prolapse Quality of Life Questionnaire (P-QOL) to evaluate the severity of POP and its impact on quality of life. RESULTS: The mean age, parity and length of follow-up of the patients were 36.08 ± 9.04 years, 4.00 ± 1.86 and 28.88 ± 5.88 months, respectively. The most common complications were de novo rectocele in three patients (8.6%) and de novo cystocele in two patients (5.7%). All the FSFI and P-QOL scores were statistically significantly improved in the postoperative period (P < 0.001 for all scores of both FSFI and P-QOL). CONCLUSION: The quality of life and sexual function of the patients who underwent laparoscopic pectopexy were found to have become statistically improved at the midterm follow-up. Laparoscopic pectopexy was found to be a viable, effective and safe procedure. |
| first_indexed | 2024-04-13T21:15:44Z |
| format | Article |
| id | doaj.art-3594138637774ed6bc6cf4e4ce03522b |
| institution | Directory Open Access Journal |
| issn | 1806-9460 |
| language | English |
| last_indexed | 2024-04-13T21:15:44Z |
| publishDate | 2022-06-01 |
| publisher | Associação Paulista de Medicina |
| record_format | Article |
| series | São Paulo Medical Journal |
| spelling | doaj.art-3594138637774ed6bc6cf4e4ce03522b2022-12-22T02:29:42ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-94602022-06-0110.1590/1516-3180.2021.0488.r1.171121Intermediate-term follow-up of laparoscopic pectopexy cases and their effects on sexual function and quality of life: a cross-sectional studySelami Erdemhttps://orcid.org/0000-0002-8517-5787ABSTRACT BACKGROUND: Apical prolapsus refers to downward displacement of the vaginal apex, uterus or cervix. Pelvic organ prolapse (POP) can significantly affect women’s daily activities and sexuality. OBJECTIVE: To investigate, at the mid-term follow-up after laparoscopic pectopexy surgery, whether this procedure improved the patients’ quality of life and sexual function. DESIGN AND SETTING: In this cross-sectional study, data on patients who underwent laparoscopic pectopexy in the Gazi Yasargil Education and Research Hospital were evaluated. METHODS: Thirty-five patients with symptomatic apical prolapse and POP quantification stage II and higher were included in this study. We used the Turkish version of the female sexual function index (FSFI) questionnaire to assess preoperative and postoperative sexual dysfunction, and the Turkish version of the Prolapse Quality of Life Questionnaire (P-QOL) to evaluate the severity of POP and its impact on quality of life. RESULTS: The mean age, parity and length of follow-up of the patients were 36.08 ± 9.04 years, 4.00 ± 1.86 and 28.88 ± 5.88 months, respectively. The most common complications were de novo rectocele in three patients (8.6%) and de novo cystocele in two patients (5.7%). All the FSFI and P-QOL scores were statistically significantly improved in the postoperative period (P < 0.001 for all scores of both FSFI and P-QOL). CONCLUSION: The quality of life and sexual function of the patients who underwent laparoscopic pectopexy were found to have become statistically improved at the midterm follow-up. Laparoscopic pectopexy was found to be a viable, effective and safe procedure.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802022005014202&lng=en&tlng=enPelvic organ prolapseQuality of lifeLaparoscopyPectopexyProlapsusLaparoscopic surgery |
| spellingShingle | Selami Erdem Intermediate-term follow-up of laparoscopic pectopexy cases and their effects on sexual function and quality of life: a cross-sectional study São Paulo Medical Journal Pelvic organ prolapse Quality of life Laparoscopy Pectopexy Prolapsus Laparoscopic surgery |
| title | Intermediate-term follow-up of laparoscopic pectopexy cases and their effects on sexual function and quality of life: a cross-sectional study |
| title_full | Intermediate-term follow-up of laparoscopic pectopexy cases and their effects on sexual function and quality of life: a cross-sectional study |
| title_fullStr | Intermediate-term follow-up of laparoscopic pectopexy cases and their effects on sexual function and quality of life: a cross-sectional study |
| title_full_unstemmed | Intermediate-term follow-up of laparoscopic pectopexy cases and their effects on sexual function and quality of life: a cross-sectional study |
| title_short | Intermediate-term follow-up of laparoscopic pectopexy cases and their effects on sexual function and quality of life: a cross-sectional study |
| title_sort | intermediate term follow up of laparoscopic pectopexy cases and their effects on sexual function and quality of life a cross sectional study |
| topic | Pelvic organ prolapse Quality of life Laparoscopy Pectopexy Prolapsus Laparoscopic surgery |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802022005014202&lng=en&tlng=en |
| work_keys_str_mv | AT selamierdem intermediatetermfollowupoflaparoscopicpectopexycasesandtheireffectsonsexualfunctionandqualityoflifeacrosssectionalstudy |