Regret, satisfaction, and symptom improvement: Analysis of the impact of partial colpocleisis for the management of severe pelvic organ prolapse
Regret, satisfaction, and symptom improvement: Analysis of the impact of partial colpocleisis for the management of severe pelvic organ prolapse
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DOI：
10.1016/j.ajog.2005.07.010
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发表时间：
2005-12-01
影响因子：
9.8
通讯作者：
Varner, RE
中科院分区：
文献类型：
--
作者：
Wheeler, TL;Richter, HE;Varner, RE
目的：本研究的目的是评估一组在术后1年以上接受阴道闭合术的患者，以确定：1）后悔接受该手术的患者比例，2）患者对手术的满意度，以及3）手术后症状严重程度的变化。研究设计：使用伯明翰亚拉巴马大学（UAB）泌尿生殖系统疾病中心数据库，对1996年8月至2003年4月期间接受阴道闭合术的54例患者进行了前瞻性分析。从2004年8月到10月，参与者被一位没有参与手术的研究者联系，并被问到1）“你后悔做手术吗？如果是，为什么？”，“2）“你对自己的进步有多满意（完全满意，有一点满意，还是不满意）？，结果：59%（32/54）的候选人参加了研究。9%（3/32）的患者后悔进行了阴道闭合术。57%（16/28）完全满意，29%（8/28）比较满意，14%（4/28）不满意。平均IIQ评分从基线时的40.9（+/- 31.7）显著改善至末次访视时的14.1（+/- 26.7）（P = 0.003）。平均UDI评分从基线时的63.1（+/- 24.3）显著改善至末次访视时的24.2（+/- 26.7）（P = 0.001）。UDI评分的变化与手术后时间（r = -.397，P = .055）和年龄（r = -.435，P = .034）呈负相关。结论：部分阴道闭合术后很少有患者后悔。术后一年以上患者满意度高，症状明显改善。随着手术时间的延长和年龄的增加，报告了稳定但较小的改善。(c)2005 Mosby，Inc. All rights reserved.
Objective: The purpose of this study was to assess a cohort of patients who underwent a colpocleisis procedure more than 1 year post operation to determine: 1) the proportion of patients who regretted having the procedure, 2) patient satisfaction with the procedure, and 3) changes in symptom severity after surgery.Study design: Using the University of Alabama at Birmingham (UAB) Genitourinary Disorders Center database, a prospective analysis was performed on 54 patients who underwent colpocleisis between August 1996 and April 2003. From August to October of 2004, participants were contacted by an investigator not involved with the surgery and were asked 1) "do you regret having your surgery, and, if so, why?," 2) "how satisfied are you with your progress (completely, somewhat, or not)?," and 3) to repeat the short form Incontinence Impact Questionnaire/Urogenital Distress Inventory (ITQ-7/UDI-6).Results: Fifty-nine percent (32/54) of potential candidates participated in the study. Nine percent (3/32) of patients regretted having colpocleisis performed. Fifty-seven percent (16/28) were completely satisfied, 29% (8/28) somewhat satisfied, and 14% (4/28) not satisfied. Mean IIQ score improved significantly from 40.9 (+/- 31.7) at baseline to 14.1 (+/- 26.7) at last interview (P = .003). Mean UDI score improved significantly from 63.1 (+/- 24.3) at baseline to 24.2 (+/- 26.7) at last interview (P = .001). There was a negative correlation between change in UDI scores with time since procedure (r = -.397, P = .055) and age (r = -.435, P = .034).Conclusion: Few patients reported regret after partial colpocleisis. There was a high rate of patient satisfaction and significant symptom improvement more than a year post surgery. Stable but smaller improvements were reported with longer time from surgery and increasing age. (c) 2005 Mosby, Inc. All rights reserved.