TITLE:
Subjective and Objective Results of Native Anterior Vaginal Wall Repair in Local Anesthesia: A 10-Year Follow-Up
AUTHORS:
Cecilie Hestbech Lundorff, Marianne Glavind-Kristensen, Susanne Maigaard Axelsen, Karl Møller Bek, Susanne Greisen
KEYWORDS:
Colporrhaphy, Cystocele, Long-Term Follow-Up, Reoperation Rate, Vaginal Wall Prolapse
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.5 No.13,
November
25,
2015
ABSTRACT: Introduction and Hypothesis: This follow-up study evaluates long-term
subjective and objective outcome of native tissue anterior vaginal wall repair
using local anesthesia. Methods: 72 women were operated. At 10-year follow-up
anatomical results were evaluated by clinical examination. Furthermore, the
women filled in a validated symptom and quality of life questionnaire. Results:
Forty women (56%) completed the 10-year follow-up. Eighteen women (25%) had
died within the ten-year follow-up period and fourteen women (19%) were lost to
follow-up. Six (15%) of the women who came for follow-up had been reoperated
for anterior vaginal wall prolapse within the 10-year follow-up period and were
analysed as a separate group. Of the 40 women who came for the 10-year clinical
examination none had stage 0 pelvic organ prolapse. Twenty (50%) women had
stage 1, whereas, 13 (32%) had stage 2 and 1 (3%) had stage 3 pelvic organ
prolapse. Ten years after surgery, 28 women (70%) had no bulge symptoms. Six
(15%) of the women experienced bulge symptoms at the time of follow-up. Ten years
postoperatively, 30 (75%) of the women in an overall quality of life assessment
considered their condition improved after surgery. Conclusion: At 10-year
follow-up 70% of women were relieved from their bulge symptoms and 75% still
considered themselves better or much better than before the operation. However,
15% of women had been reoperated and 15% still experienced bulge symptoms.