Improved quality of life after surgery for pelvic organ prolapse in Nepalese women

BMC Women's Health

Research Article

Masamine Jimba¹  Junko Yasuoka¹  Rolina Dhital¹  Keiko Otsuka¹  Ganesh Dangal²  Krishna C Poudel³ 

[1] Department of Community and Global Health, Graduate School of Medicine, The University of Tokyo, 7-3-1, Hongo, 113-0033, Bunkyo-ku, Tokyo, Japan;Department of Obstetrics and Gynecology, Kathmandu Model Hospital, P.O. Box 6064, Exhibition Road, Kathmandu, Nepal;Department of Public Health, School of Public Health and Health Sciences, University of Massachusetts Amherst, 316 Arnold House, 715 North Pleasant St, 01003-9304, Amherst, MA, USA;

关键词: Nepal;    Pelvic organ prolapse;    Quality of life;    Surgery;    Vaginal hysterectomy;   

DOI  :  10.1186/1472-6874-13-22

 received in 2012-10-30, accepted in 2013-05-06,  发布年份 2013

来源: Springer

【 摘 要 】

BackgroundPelvic organ prolapse (POP) is a common gynecological condition that can affect quality of life (QOL) in women. In Nepal, the prevalence of POP is high, but many affected women are still deprived of treatment. Vaginal hysterectomy with pelvic floor repair is one of the common treatment options for advanced POP. However, QOL outcomes after surgery have not been reported in low-income countries. Thus, we aimed to examine changes in QOL among Nepalese women with POP after such surgery.MethodsThis longitudinal study was conducted in the selected central and peripheral hospitals in Nepal where vaginal hysterectomy was being performed free of cost for POP. A baseline study first measured the QOL domains (physical, psychological, social relationships and environment) among 252 women with advanced POP. Follow-up data was then collected at six weeks and three months after surgery. Among the 177 women that were available at six weeks post-surgery, 166 participated in the follow-up study at three months post-surgery. To evaluate QOL at baseline, 142 women with no history of POP were included as a comparison group.ResultsThe mean scores across QOL domains improved from baseline to 3 months after surgery. The baseline score for the physical domain increased from 11.2 to 12.8 at six weeks and 13.5 at three months post-surgery (p < 0.001); the psychological domain score increased from 11.6 to 13.1 at six weeks and 13.8 at three months post-surgery (p < 0.001); the social relationships domain score increased from 13.6 to 14.4 at six weeks and 15.0 at three months post-surgery (p < 0.001); and the environmental domain score increased from 12.9 to 13.9 at six weeks and 14.0 at three months post-surgery (p < 0.001).ConclusionQOL progressively improved among women undergoing surgery for POP. Such surgical services need to be scaled up for treatment of advanced POP in low-income countries.

【 授权许可】

Unknown   
© Dhital et al.; licensee BioMed Central Ltd. 2013. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.