Journal of obstetrics and women's diseasesJournal of obstetrics and women's diseases1684-04611683-9366Eco-Vector1096710.17816/JOWD67631-37Research ArticleSurgical treatment satisfaction in women with pelvic organ prolapse. Quantification and analysisKorshunovMikhail Yu.<p>MD, PhD, DSci (Medicine), Assistant Professor. The Department of Obstetrics, Gynecology, and Reproductive Sciences</p>mkorshunov@mail.ruSergeyevaIrina V.<p>MD, Honored Doctor of the Russian Federation, the Head of the Department of Gynecology</p>irina-sergeeva@hotmail.comAcademician I.P. Pavlov First Saint Petersburg State Medical UniversityLeningrad Regional Clinical Hospital15122018676313715122018Copyright © 2018, Korshunov M.Y., Sergeyeva I.V.2018<p><strong>Hypothesis/aims of study.</strong> An integrated evaluation of the effectiveness of pelvic organ prolapse (POP) treatment in women requires a consistent interpretation of the criteria of treatment satisfaction. The aim of this study was to specify surgical treatment satisfaction in patients with POP.</p>
<p><strong>Study design, materials, and methods.</strong> Surgical treatment was performed in 486 patients with POP stages IIIV. In 12 months, a patient survey (using a 1-5-point scale) evaluated the level of treatment satisfaction, reasons for lowered self-reported satisfaction, and respondents ambivalence regarding treatment results.</p>
<p><strong>Results.</strong> One-year post-surgical treatment of POP stages 0I are observed in 80.9% of patients. Full satisfaction (5 points) was self-reported by 61.1% of patients, 28.6% of patients indicated partial satisfaction (34 points), and 10.3% of patients indicated treatment dissatisfaction (12 points). Post-surgery stage of POP is weakly correlated with self-reported treatment satisfaction (<em>r</em> = 0.39; <em>p</em> 0.0001). Most common reasons for lower self-reported satisfaction were the emergence of new issues, fear of pathology recurrence, urinary incontinence, and pain. Five patients (1.0%) indicated that their condition became much worse after the surgical treatment.</p>
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