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RANCHO MIRAGE, CALIF. -- Three of 32 women regretted undergoing partial colpocleisis a mean of 28 months after surgery, two because of recurrent prolapse and one due to continued stress incontinence, Thomas L. Wheeler II, M.D., reported.
In follow-up interviews, none cited loss of sexual function as a reason for regret. Overall, satisfaction rates were high, he said at the annual meeting of the Society of Gynecologic Surgeons.
The surgery significantly reduced patient distress over symptoms and the impact of incontinence on their lives, compared with baseline levels, assessed by the short-form Incontinence Impact Questionnaire (IIQ) and the short-form Urogenital Distress Inventory (UDI).
There have been no published reports comparing preoperative and postoperative quality of life scores using validated instruments such as these to assess results from colpocleisis, noted Dr. Wheeler of the University of Alabama, Birmingham.
The investigators obtained records on 54 patients who had undergone partial colpocleises during a 5-year period, but 19 patients were demented, lost to follow-up, or deceased. Three declined to participate in the study. The remaining 32 patients answered a question about regret, and 28 of them also answered a question about satisfaction with results of the surgery. The mean age of respondents was 81 years.
In the three patients (9%) who regretted the surgery, the two recurrent prolapses occurred at 5 and 7 ...
Source: HighBeam Research, Good results, satisfaction after partial colpocleisis.(care and...