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Improved quality of life after surgery for pelvic organ prolapse in Nepalese women
BACKGROUND: Pelvic 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 o...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3662601/ https://www.ncbi.nlm.nih.gov/pubmed/23657142 http://dx.doi.org/10.1186/1472-6874-13-22 |
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author | Dhital, Rolina Otsuka, Keiko Poudel, Krishna C Yasuoka, Junko Dangal, Ganesh Jimba, Masamine |
author_facet | Dhital, Rolina Otsuka, Keiko Poudel, Krishna C Yasuoka, Junko Dangal, Ganesh Jimba, Masamine |
author_sort | Dhital, Rolina |
collection | PubMed |
description | BACKGROUND: Pelvic 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. METHODS: This 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. RESULTS: The 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). CONCLUSION: QOL 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. |
format | Online Article Text |
id | pubmed-3662601 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-36626012013-05-24 Improved quality of life after surgery for pelvic organ prolapse in Nepalese women Dhital, Rolina Otsuka, Keiko Poudel, Krishna C Yasuoka, Junko Dangal, Ganesh Jimba, Masamine BMC Womens Health Research Article BACKGROUND: Pelvic 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. METHODS: This 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. RESULTS: The 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). CONCLUSION: QOL 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. BioMed Central 2013-05-09 /pmc/articles/PMC3662601/ /pubmed/23657142 http://dx.doi.org/10.1186/1472-6874-13-22 Text en Copyright © 2013 Dhital et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 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. |
spellingShingle | Research Article Dhital, Rolina Otsuka, Keiko Poudel, Krishna C Yasuoka, Junko Dangal, Ganesh Jimba, Masamine Improved quality of life after surgery for pelvic organ prolapse in Nepalese women |
title | Improved quality of life after surgery for pelvic organ prolapse in Nepalese women |
title_full | Improved quality of life after surgery for pelvic organ prolapse in Nepalese women |
title_fullStr | Improved quality of life after surgery for pelvic organ prolapse in Nepalese women |
title_full_unstemmed | Improved quality of life after surgery for pelvic organ prolapse in Nepalese women |
title_short | Improved quality of life after surgery for pelvic organ prolapse in Nepalese women |
title_sort | improved quality of life after surgery for pelvic organ prolapse in nepalese women |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3662601/ https://www.ncbi.nlm.nih.gov/pubmed/23657142 http://dx.doi.org/10.1186/1472-6874-13-22 |
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