Long-term Outcome and Satisfaction to Surgery after Vaginal Hysterectomy
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2014, Vol 4, Issue 11
Abstract
Purpose: Pelvic organ prolapse (POP) is a common condition that can severely impact the quality of a woman’s life. POP will generally get worse in time and is likely to become more common, as the population ages in the coming years. Epidemiologic studies point to vaginal childbirth delivery as the strongest risk factor, although the etiology is multifactorial. The annual incidence of posthysterectomy vaginal prolapse that requires surgery has been estimated to be 36 per 10 000 persons globally. Methodology: This study was a retrospective analysis in which we evaluated long-term anatomical results and quality of life after vaginal hysterectomy. 43 patients out of 98 who underwent vaginal hysterectomy between the years 1990 and 1996 in the Länsi-Pohja Central Hospital in Finland were examined and interviewed for the study. Results: 33% of examined patients presented cystocele or rectocele at the time of study (on average 17.6 years post operation). Seven of them had already been operated. No vaginal vault prolapse was observed. As for quality of life 72 % of patients reported lower urinary tract symptoms, namely urgency, but only 9% felt sensation of prolapse, while 53 % of sexually active patients complained dyspareunia. Conclusion: In this article we present unique long-term follow-up after vaginal hysterectomy. This is a first article presenting over 15 year follow-up after vaginal hysterectomy.
Authors and Affiliations
Ritva Nissi, Kotila Vesa, Silvennoinen Laura, Talvensaari-Mattila Anne
Keywords
Related Articles
- EP ID EP348747
- DOI 10.9734/BJMMR/2014/5708
- Views 84
- Downloads 0
Knowledge and Attitude of Male Staff in a Nigerian Tertiary Institution towards Infant Feeding
Aim: The aim of this study was to assess the knowledge and attitude of Nigerian men working in a tertiary institution toward infant feeding. Study Design: The study was cross sectional in design. Place and Duration of St...
An Early Experience with Totally Extra-Peritoneal Inguinal Hernia Repair from a Teaching Institute from Kashmir Valley
Objective: To present the observations from an early experience with the TEP hernia repair with regard to feasibility, technical difficulties, operating time, conversion rate and early recurrence. Methods: The study was...
Oral Fibrolipoma-: A Rare Presentation Case Report and Review of Literature
Lipomas are classified as benign soft tissue neoplasms of mesenchymal origin and comprise 4-5% of benign tumors in the body. They are relatively rare in the oral cavity with a rate of 1/5000 individuals. The buccal mucos...
Evidence Based Medicine: Assessing Knowledge, Attitudes and Barriers in Post-graduate Training
Aims: To assess the knowledge and attitude of post- graduate medical students regarding evidence based medicine (EBM) and to find out the barriers against its implementation, if any. Study Design: Medical college based c...
Salvigenin has Potential to Ameliorate Streptozotocin-induced Diabetes Mellitus and Heart Complications in Rats
Objectives: Flavonoids are the active ingredients, found in herbal remedies for amelioration the variety of disorders. Salvigenin is a plant flavenoid, which is found in Salvia officinalis. Salvigenin has an antioxidant,...