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 92
- Downloads 0
Pregnancy and Ramadhan Fasting
Fasting during the month of Ramadan is a religious obligation for healthy adult Muslims. Pregnant and lactating mothers are exempt from fasting but they do fast during the month of Ramadan. Numerous metabolic, endocrina...
Effects of Live Infectious Bursal Disease Vaccines, on Immune Response of Vaccinated Chicks
Aim: Relationship between virus titers of live Infectious Bursal disease (IBD) vaccines and their serum-conversion abilities was studied. Study design and Methodology: Five batches of each, of five IBD vaccine brands us...
Squamous Cell CarcInoma of Gallbladder: A Case Report
Although gallbladder cancers are rarely seen, the mortality rates are high. Pure squamous cell cancer, which is one of the most rarely seen cancer types in the gallbladder, originates from the squamous metaplasia which f...
Periodontal Disease and Stroke: An Updated Review of Their Association
Objective: To review the literature regarding the association of periodontal disease with stroke that has been gaining interest during the last two decades. Methods: A search was conducted through MEDLINE and SCOPUS da...
A Clinical and Demographic Profile of Acute Poisoning in Adults: A Two Year Experience from a Tertiary Care Centre in Bangalore, India
Aims: This study was done to analyze the local pattern of poisoning, clinical presentation, management practices, complications and the outcome of various poisonings. Methods: It was a prospective observational study co...