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Retrospective review of treatment outcomes for women referred to the combined pelvic floor disorders clinic
IUGA Academy. G. Tincello D. Jun 30, 2018; 212932; 312 Topic: Pelvic Organ Prolapse
Douglas G. Tincello
Douglas G. Tincello

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Abstract
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312

Retrospective review of treatment outcomes for women referred to the combined pelvic floor disorders clinic

Obloza, A1; Miller, A1; Hoh, C1; Teo, R1; Revicky, V1; Tincello, D1

1: UHL NHS

Background: Pelvic floor disorders represent a significant cause of morbidity and reduction in quality of life. They are associated frequently with constipation and obstructive defeacation symptoms (ODS). Management includes both conservative and surgical approach. It is unclear whether vaginal prolapse repair improves ODS.

Method: A retrospective review of women discussed at the Pelvic Floor MDT and who underwent posterior colporrhaphy +/- perineorrhaphy was done. Demographic data, descriptive/qualitative symptoms and BSUG database data were recorded. Data are presented as median (range), proportion or percent with 95% confidence intervals. Non-parametric statistical tests were used for analysis.

Results: We examined 46 cases between 2012 and 2016. Median age was 55 (32-89), BMI 29 (20-41) and parity 2 (1-5). ICIQ prolapse symptoms scores and bowel symptoms improved (Table 1 & 2) and there were significant improvements in all POPQ points, typically from 0 (-3,2) to -3 (-3,0) p = 0.0001.

Table 1

ICIQ scores

Pre-op

3/12 Post-op

p-value

Vaginal symptoms

24.5 (5-45)

6 (0-45)

0.0025

Sexual matters

47 (10-58)

9.5 (0-58)

0.25

QoL affected

9 (1-10)

0 (0-8)

0.003

Table 2

Symptom

Pre-operative

3/12 Post-operative

% difference (95% CI)

Vaginal bulge

35/46

1/35

73.2 (51.4, 95.1)

Obstructed defaecation

40/46

5/40

74.5 (53.3, 95.6)

Constipation

15/46

1/15

25.9 (0.3, 51.6)

Conclusion: Surgical correction of vaginal posterior compartment prolapse is effective in correcting anatomical defects and functional outcomes of obstructed defaecation of women with symptomatic prolapse.

Disclosure:

Work supported by industry: no.

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