Qualité de vie, symptômes et satisfaction à moyen terme après promontofixation laparoscopique. Facteurs prédictifs de satisfaction post opératoire

Abstract : Objectives: the Pelvic Organ Prolapse (POP) is a common condition that can lead to pelvic disorders, with an impact on the quality of life. Laparoscopic Sacrocolpopexy (LSCP) is currently considered the reference technique for repair of POP. Published results are focused on anatomical results or short time functional results. The main objective of our study was to evaluate the medium term effect of the LSCP on symptoms with valid self-questionnaires. Our second objective is to determine if some pre and intra-operative factors are associated with post-operative women’s satisfaction. Methods: this retrospective single center trial included women suffering from grade 2 and above POP, who underwent LSCP between October 2004 and January 2011. Included patients had completed a preoperative questionnaire and received a similar postoperative one with specific and valid self-questionnaires. Our study has received a favorable opinion from the French Ethics Committee. Results: 152 patients, average aged of 57.9 (±8.9) were included and 92 returned the completed questionnaire (60.5%). The mean follow up was of 50.5 months (4.2 years). The quality of life of patients were significantly improved after LSCP (p<0.001) and the patients were satisfied (PGI-I score = 1.80 (±1.1)). The mean postoperative PFDI20, PFIQ 7, ICIQ, and PISQ12 score were respectively 52.8 (±47.0), 15.44 (±32.17), 6.1 (±20.8) et de 34.8 (±7.57). The post-operative constipation and the recurrence of POP are associated with a poorer satisfaction. A grade =3 seems to predict a better post-operative satisfaction. Conclusions: at a mean follow up of 4.2 years, the patients’ satisfaction remains high after LSCP. The efficiency of LSCP persists with a permanent improvement of pelvic symptoms and quality of life.
Document type :
Master Thesis
Complete list of metadatas

https://dumas.ccsd.cnrs.fr/dumas-01646630
Contributor : Université Paris Descartes - Scd <>
Submitted on : Thursday, November 23, 2017 - 3:54:44 PM
Last modification on : Friday, May 10, 2019 - 10:08:00 AM

File

ThExe_FERMAUT_Marion_DUMAS_.pd...
Files produced by the author(s)

Identifiers

  • HAL Id : dumas-01646630, version 1

Citation

Marion Fermaut. Qualité de vie, symptômes et satisfaction à moyen terme après promontofixation laparoscopique. Facteurs prédictifs de satisfaction post opératoire. Médecine humaine et pathologie. 2016. ⟨dumas-01646630⟩

Share

Metrics

Record views

256

Files downloads

488