OJOG  Vol.5 No.13 , November 2015
Subjective and Objective Results of Native Anterior Vaginal Wall Repair in Local Anesthesia: A 10-Year Follow-Up
ABSTRACT
Introduction and Hypothesis: This follow-up study evaluates long-term subjective and objective outcome of native tissue anterior vaginal wall repair using local anesthesia. Methods: 72 women were operated. At 10-year follow-up anatomical results were evaluated by clinical examination. Furthermore, the women filled in a validated symptom and quality of life questionnaire. Results: Forty women (56%) completed the 10-year follow-up. Eighteen women (25%) had died within the ten-year follow-up period and fourteen women (19%) were lost to follow-up. Six (15%) of the women who came for follow-up had been reoperated for anterior vaginal wall prolapse within the 10-year follow-up period and were analysed as a separate group. Of the 40 women who came for the 10-year clinical examination none had stage 0 pelvic organ prolapse. Twenty (50%) women had stage 1, whereas, 13 (32%) had stage 2 and 1 (3%) had stage 3 pelvic organ prolapse. Ten years after surgery, 28 women (70%) had no bulge symptoms. Six (15%) of the women experienced bulge symptoms at the time of follow-up. Ten years postoperatively, 30 (75%) of the women in an overall quality of life assessment considered their condition improved after surgery. Conclusion: At 10-year follow-up 70% of women were relieved from their bulge symptoms and 75% still considered themselves better or much better than before the operation. However, 15% of women had been reoperated and 15% still experienced bulge symptoms.

Cite this paper
Lundorff, C. , Glavind-Kristensen, M. , Axelsen, S. , Bek, K. and Greisen, S. (2015) Subjective and Objective Results of Native Anterior Vaginal Wall Repair in Local Anesthesia: A 10-Year Follow-Up. Open Journal of Obstetrics and Gynecology, 5, 762-767. doi: 10.4236/ojog.2015.513107.
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