Body Image, Regret, and Satisfaction 24 Weeks After Colpocleisis
| Autor: | Aimee L. Tieu, Catrina C. Crisp, Nicole M. Book, Jacqueline A. Cunkelman, Rachel N. Pauls |
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| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Urology Emotions 030232 urology & nephrology Pelvic Organ Prolapse 03 medical and health sciences Gynecologic Surgical Procedures 0302 clinical medicine Patient satisfaction Quality of life Surveys and Questionnaires Colpocleisis Body Image Humans Medicine Postoperative Period Prospective Studies Prospective cohort study Aged Aged 80 and over 030219 obstetrics & reproductive medicine Pelvic floor business.industry Obstetrics and Gynecology Regret Surgery body regions Distress Treatment Outcome medicine.anatomical_structure Patient Satisfaction Vagina Quality of Life Female business Follow-Up Studies |
| Zdroj: | Female Pelvic Medicine & Reconstructive Surgery. 22:132-135 |
| ISSN: | 2151-8378 |
| Popis: | OBJECTIVE To evaluate the impact of colpocleisis on body image, regret, satisfaction, and pelvic floor symptoms 24 weeks after surgery. METHODS This was a prospective multicenter study conducted through the Society of Gynecologic Surgeons' Fellows' Pelvic Research Network with 7 sites across the United States. Women undergoing colpocleisis were enrolled. Outcomes assessed at 24 weeks included body image, regret, satisfaction, and pelvic floor symptoms. The Pelvic Floor Impact Questionnaire, Pelvic Floor Distress Inventory, the modified Body Image Scale, the Decision Regret Scale, and the Satisfaction with Decision Scale were administered. A sample size of 88 subjects was calculated for a significant change in the Body Image Scale. RESULTS Ninety subjects were enrolled. Two did not undergo surgery, and 7 were deceased at the time of 24-week follow-up. Significant improvements in all pelvic floor symptoms were noted 6 weeks postoperatively, and 24-week data showed sustained improvement. In addition, mean and total body image scores showed lasting significant improvement when compared with preoperative scores (P < 0.001 and P < 0.001, respectively). Finally, patients continued to be satisfied with their decision to undergo surgery (mean [SD] 4.6, [0.6]) and had a very low level of regret regarding this decision (mean [SD], 1.5 [0.7]). CONCLUSIONS Colpocleisis is a highly effective surgical treatment option for pelvic organ prolapse with improvements in both pelvic floor symptoms and body image. Furthermore, high satisfaction and low regret seen 24 weeks after surgery provide reassurance that colpocleisis is an excellent option for appropriate patients. |
| Databáze: | OpenAIRE |
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