Premium
Prolapse severity, symptoms and impact on quality of life among women planning sacrocolpopexy
Author(s) -
FitzGerald M.P.,
Janz N.K.,
Wren P.A.,
Wei J.T.,
Weber A.M.,
Ghetti C.,
Cundiff G.W.
Publication year - 2007
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2007.03.018
Subject(s) - medicine , quality of life (healthcare) , pelvic floor , distress , urinary incontinence , pelvic floor dysfunction , stage (stratigraphy) , uterine prolapse , physical therapy , gynecology , surgery , nursing , clinical psychology , paleontology , biology
Objectives : To explore the relationship between severity of pelvic organ prolapse (POP), symptoms of pelvic dysfunction and quality of life using validated measures. Method : Baseline data from 314 participants in the C olpopexy A nd Urinary R eduction E fforts (CARE) trial were analyzed. Pelvic symptoms and impact were assessed using the Pelvic Floor Distress Inventory (PFDI) and the Pelvic Floor Impact Questionnaire (PFIQ). PFDI and PFIQ scores were compared by prolapse stage and history of incontinence or POP surgery. Regression analyses were performed to identify other predictors of symptoms and impact. Results : Women were predominantly (90%) Caucasian and had mean age of 61 years. Women with stage II POP, especially those with prior surgery, reported more symptoms and impact than women with more advanced POP. There were no other significant predictors of symptoms or life impact. Conclusions : Women planning sacrocolpopexy with stage II prolapse and prior pelvic surgery reported more symptoms and quality of life impact than those with more advanced prolapse.