British Journal of Medicine and Medical Research, ISSN: 2231-0614,Vol.: 4, Issue.: 11 (11-20 April)
Long-term Outcome and Satisfaction to Surgery after Vaginal Hysterectomy
Ritva Nissi1*, Kotila Vesa2, Silvennoinen Laura1 and Talvensaari-Mattila Anne1 1Department of Obstetrics and Gynecology, Oulu University Hospital, University of Oulu, Finland.
2Department of Electrical Engineering, Division of Mathematics, University of Oulu, Finland.
Ritva Nissi1*, Kotila Vesa2, Silvennoinen Laura1 and Talvensaari-Mattila Anne1
1Department of Obstetrics and Gynecology, Oulu University Hospital, University of Oulu, Finland.
(1) Daniel Laubitz, Steele Children's Research Center, Dept. of Pediatrics, Gastroenterology and Nutrition, Arizona Health Sciences Center, University of Arizona, Tucson, USA.
(1) Allan Covens, University of Toronto, Canada.
Complete Peer review History: http://www.sciencedomain.org/review-history/3484
Purpose: Pelvic organ prolapse (POP) is a common condition that can severely impact the quality of a woman’s life. POP will generally get worse in time and is likely to become more common, as the population ages in the coming years. Epidemiologic studies point to vaginal childbirth delivery as the strongest risk factor, although the etiology is multifactorial. The annual incidence of posthysterectomy vaginal prolapse that requires surgery has been estimated to be 36 per 10 000 persons globally.
Methodology: This study was a retrospective analysis in which we evaluated long-term anatomical results and quality of life after vaginal hysterectomy. 43 patients out of 98 who underwent vaginal hysterectomy between the years 1990 and 1996 in the Länsi-Pohja Central Hospital in Finland were examined and interviewed for the study.
Results: 33% of examined patients presented cystocele or rectocele at the time of study (on average 17.6 years post operation). Seven of them had already been operated. No vaginal vault prolapse was observed. As for quality of life 72 % of patients reported lower urinary tract symptoms, namely urgency, but only 9% felt sensation of prolapse, while 53 % of sexually active patients complained dyspareunia.
Conclusion: In this article we present unique long-term follow-up after vaginal hysterectomy. This is a first article presenting over 15 year follow-up after vaginal hysterectomy.
Genitourinary prolapsed; long-term outcome; vaginal hysterectomy.
Full Article - PDF Page 2291-2295
DOI : 10.9734/BJMMR/2014/5708Review History Comments