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Effects of mesh-related complications in vaginal surgery on quality of life
INTRODUCTION AND HYPOTHESIS: Vaginal mesh surgery is subject of debate due to the impact of mesh-related complications on patient’s lives. Not all of these complications are symptomatic. Restoration of the anatomy and improvement of pelvic floor function as a result may counter the experienced disco...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6586912/ https://www.ncbi.nlm.nih.gov/pubmed/29909555 http://dx.doi.org/10.1007/s00192-018-3680-9 |
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author | Kowalik, Claudia R. Lakeman, Mariëlle M. E. de Kraker, Alyde T. Roovers, Jan Paul W. R. |
author_facet | Kowalik, Claudia R. Lakeman, Mariëlle M. E. de Kraker, Alyde T. Roovers, Jan Paul W. R. |
author_sort | Kowalik, Claudia R. |
collection | PubMed |
description | INTRODUCTION AND HYPOTHESIS: Vaginal mesh surgery is subject of debate due to the impact of mesh-related complications on patient’s lives. Not all of these complications are symptomatic. Restoration of the anatomy and improvement of pelvic floor function as a result may counter the experienced discomfort related to adverse events. We hypothesized that health-related quality of life (HR-QoL) is comparable in women after vaginal mesh surgery regardless of the presence or absence of a mesh-specific complication. METHODS: This was a cross-sectional study of 128 women who had vaginal mesh surgery in a Dutch university hospital between 2007 and 2012. HR-QoL was measured in women with and without mesh complications using standardized QoL questionnaires Urogenital Distress Inventory-6 (UDI-6), Incontinence Impact Questionnaire (IIQ), Defecation Distress Inventory (DDI), and Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire (PISQ-12). Complications were scored according to the International Urogynecological Association (IUGA) complication classification. Comparisons between groups were performed with Student’s t test and analysis of variance (ANOVA) test. RESULTS: In 29 (23%) women, a mesh-related complication occurred. The domain scores of the UDI-6, DDI, IIQ, and PISQ showed no statistically significant differences between women with and without a mesh-related complication. A post hoc analysis showed similar HR-QoL for those in whom the complication had been resolved and those with persistent symptoms of the complication. CONCLUSION: Mesh surgery imposes specific complications. When counseling patients about the potential adverse events related to vaginal mesh surgery, it is important to inform them that mesh-related complications do not negatively affect QoL related to micturition, defecation, and sexual functioning. |
format | Online Article Text |
id | pubmed-6586912 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-65869122019-07-05 Effects of mesh-related complications in vaginal surgery on quality of life Kowalik, Claudia R. Lakeman, Mariëlle M. E. de Kraker, Alyde T. Roovers, Jan Paul W. R. Int Urogynecol J Original Article INTRODUCTION AND HYPOTHESIS: Vaginal mesh surgery is subject of debate due to the impact of mesh-related complications on patient’s lives. Not all of these complications are symptomatic. Restoration of the anatomy and improvement of pelvic floor function as a result may counter the experienced discomfort related to adverse events. We hypothesized that health-related quality of life (HR-QoL) is comparable in women after vaginal mesh surgery regardless of the presence or absence of a mesh-specific complication. METHODS: This was a cross-sectional study of 128 women who had vaginal mesh surgery in a Dutch university hospital between 2007 and 2012. HR-QoL was measured in women with and without mesh complications using standardized QoL questionnaires Urogenital Distress Inventory-6 (UDI-6), Incontinence Impact Questionnaire (IIQ), Defecation Distress Inventory (DDI), and Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire (PISQ-12). Complications were scored according to the International Urogynecological Association (IUGA) complication classification. Comparisons between groups were performed with Student’s t test and analysis of variance (ANOVA) test. RESULTS: In 29 (23%) women, a mesh-related complication occurred. The domain scores of the UDI-6, DDI, IIQ, and PISQ showed no statistically significant differences between women with and without a mesh-related complication. A post hoc analysis showed similar HR-QoL for those in whom the complication had been resolved and those with persistent symptoms of the complication. CONCLUSION: Mesh surgery imposes specific complications. When counseling patients about the potential adverse events related to vaginal mesh surgery, it is important to inform them that mesh-related complications do not negatively affect QoL related to micturition, defecation, and sexual functioning. Springer International Publishing 2018-06-16 2019 /pmc/articles/PMC6586912/ /pubmed/29909555 http://dx.doi.org/10.1007/s00192-018-3680-9 Text en © The Author(s) 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Original Article Kowalik, Claudia R. Lakeman, Mariëlle M. E. de Kraker, Alyde T. Roovers, Jan Paul W. R. Effects of mesh-related complications in vaginal surgery on quality of life |
title | Effects of mesh-related complications in vaginal surgery on quality of life |
title_full | Effects of mesh-related complications in vaginal surgery on quality of life |
title_fullStr | Effects of mesh-related complications in vaginal surgery on quality of life |
title_full_unstemmed | Effects of mesh-related complications in vaginal surgery on quality of life |
title_short | Effects of mesh-related complications in vaginal surgery on quality of life |
title_sort | effects of mesh-related complications in vaginal surgery on quality of life |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6586912/ https://www.ncbi.nlm.nih.gov/pubmed/29909555 http://dx.doi.org/10.1007/s00192-018-3680-9 |
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