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01.08.2012 | Original Article

Symptoms, quality of life, and factors affecting women’s treatment decisions regarding pelvic organ prolapse

verfasst von: Symphorosa Shing Chee Chan, Rachel Yau Kar Cheung, Ka Wah Yiu, Lai Loi Lee, Albe Wai Lam Pang, Tony Kwok Hung Chung

Erschienen in: International Urogynecology Journal | Ausgabe 8/2012

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Abstract

Introduction and hypothesis

We performed an investigation of symptoms, quality of life (QOL), and factors affecting women’s treatment choice of pelvic organ prolapse (POP).

Methods

Three hundred and eight women presenting with POP were assessed by Pelvic Floor Distress Inventory (PFDI), Pelvic Floor Impact Questionnaire (PFIQ), Short Form-36 (SF-36), Pelvic Organ Prolapse Quantification (POP-Q) system, and urodynamic studies. Treatment was arranged according to each woman’s preference after counseling. Factors affecting treatment choice were evaluated. Descriptive statistics, chi-square or Fisher exact test, analysis of variance (ANOVA) test, and logistic regression analysis were used.

Results

Patients had high prevalence of urinary, prolapse, and bowel symptoms. Their QOL was impaired, with Urinary Impact Questionnaire (UIQ) higher than the Pelvic Organ Prolapse Impact Questionnaire (POPIQ) score and lower SF-36 score compared with the population norm. Logistic regression analysis indicated that complication from vaginal pessary, urodynamic stress incontinence (USI), stage of prolapse, and Pelvic Organ Prolapse Distress Inventory (POPDI) scoring were factors for choosing surgical treatment.

Conclusions

Women with POP had great symptomatic distress and impaired QOL. Complication from vaginal pessary, USI, stage of prolapse, and POPDI scores were factors increasing the likelihood of the patient choosing surgical treatment.

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Titel: Symptoms, quality of life, and factors affecting women’s treatment decisions regarding pelvic organ prolapse
verfasst von: Symphorosa Shing Chee Chan
Rachel Yau Kar Cheung
Ka Wah Yiu
Lai Loi Lee
Albe Wai Lam Pang
Tony Kwok Hung Chung
Publikationsdatum: 01.08.2012
Verlag: Springer-Verlag
Erschienen in: International Urogynecology Journal / Ausgabe 8/2012
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-012-1698-y

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Symptoms, quality of life, and factors affecting women’s treatment decisions regarding pelvic organ prolapse