Functional and Anatomical Results of Colpocleisis 12 Months After the Surgery

Objective: Colpocleisis is a vaginal obliterative procedure that is performed for the treatment of pelvic organ prolapse (POP), especially in elderly women. To evaluate the anatomical success rate, improvements in POP symptoms and urinary and defaecatory symptoms, and surgical satisfaction and regret of patient 12 months after colpocleisis. Material and Methods: Twenty-two females who underwent colpocleisis during 2013–2016 were evaluated retrospectively. Assessment of the pelvic organ prolapse quantification (POP-Q) system and the Pelvic Floor Distress Inventory (PFDI-20) preoperatively and at 1 year after surgery; the Surgical Satisfaction Questionnaire (SSQ-8) that include question related with the regret of surgery was also completed 1 year after surgery. Results: Significant improvements in the total PFDI-20 score and subscale scores (all p < 0.001) were evident 1 year after colpocleisis; the POP-Q stage of all patients was ≤1, the SSQ-8 total score was 86. There is no regret because of the loss of sexual intercourse. Conclusion: The anatomical and functional outcomes of colpocleisis were satisfactory 12 months after surgery.

Kolpoklezis Ameliyatının Postoperatif 12. Ayda Fonksiyonel ve Anatomik Sonuçları

Amaç: Kolpoklezis özellikle ileri yaştaki kadın hastalarda pelvik organ prolapsusu tedavisinde vajinanın oblitere edilmesi yöntemi ile yapılan bir ameliyattır. Araştrmanın amacı kolpoklezis ameliyatından 12 ay sonra pelvik organ prolapsusu semptomlarında, işeme ve defekasyon ile ilgili semptomlarda iyileşme, anatomik başarı, cerrahi memnuniyet ve ameliyat sonrası pişmanlığı değerlendirmek. Gereç ve Yöntemler: 2013-2016 yılları arasında Turgut Özal Tıp Fakültesi Kadın Hastalıkları ve Doğum Anabilim Dalında kolpoklezis ameliyatı yapılan ve yıllık kontrolerinde muayene edilen 22 hastanın sonuçları retrospektif olarak incelendi. Hastalara preoperatif ve postoperatif 1. yılda pelvik organ prolapsusu değerlendirme muayenesi (POP-Q) ve pelvik taban distress anketi-20 (PFDI-20) uygulandı ve postoperative 1. yılda ‘ameliyat sonrasında pişmanlık yaşadınız mı?’ sorusunu içeren postoperatif ameliyat memnuniyet anketi (SSQ-8) uygulandı Bulgular: Kolpoklezis ameliyatından 1 yıl sonra PFDI-20 skorlarında iyileşme izlendi (p < 0.001), tüm hastaların POP-Q sistemine göre evresi ≤1’di. Ameliyat sonrası memnuniyet skoru 86’ydı. Vajen obliterasyonuna bağlı pişmanlık hiçbir hastada izlenmedi. Sonuç: Kolpoklezis ameliyatından 12 ay sonra anatomik ve foksiyonel sonuçlar tatmin edicidir.

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