Comparative mid-term anatomical and functional outcomes following laparoscopic sacrocolpopexy in women under and over 65: results from a prospective study
| Autor: | Benoit André, Paul Guerby, Fabien Vidal, Olivier Jourdain, Franck Léonard |
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| Rok vydání: | 2017 |
| Předmět: |
Study groups
medicine.medical_specialty Urinary Incontinence Stress 030232 urology & nephrology Urinary incontinence Pelvic Organ Prolapse 03 medical and health sciences 0302 clinical medicine Gynecologic Surgical Procedures Quality of life Internal medicine Surveys and Questionnaires medicine Humans Laparoscopic sacrocolpopexy Postoperative Period Prospective Studies Prospective cohort study Aged Pelvic organ 030219 obstetrics & reproductive medicine business.industry Obstetrics and Gynecology General Medicine Middle Aged Surgical Mesh Treatment Outcome Quality of Life Population study Observational study Female Laparoscopy medicine.symptom business |
| Zdroj: | Archives of gynecology and obstetrics. 297(6) |
| ISSN: | 1432-0711 |
| Popis: | To compare mid-term anatomical and functional outcomes following laparoscopic sacrocolpopexy (LS) between women under and over 65. Prospective and observational study involving patients with symptomatic pelvic organ prolapse (POP) undergoing LS. Study population was stratified according to patients’ age at the time of surgery. POP symptoms and impact on quality of life were assessed by PFIQ-7 and PFDI-20 questionnaires at baseline and during follow-up. Among our study population (n = 72), 26 women were over 65 and 46 under 65. Mean follow-up duration was 17.6 months, and complete follow-up was available in 90% of patients. No differences between study groups were observed regarding surgery duration, length of stay, and peri-operative complications. Recurrence rate was 1.4% at 18 months of follow-up. Questionnaires analysis revealed a significant improvement in PFIQ-7 and PFDI-20 scores. We found no differences in post-operative scores between control and elderly groups. Sixteen patients experienced de novo stress urinary incontinence (22.2%), with no difference between groups (p = 0.7). Among them, seven required surgical management. LS was associated with high anatomical success rate and good functional outcomes, regardless of age at the time of surgery. LS should thus be considered in women over 65. Beyond age, the route of surgery should be driven by patient’s choice and medical condition. |
| Databáze: | OpenAIRE |
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