Journal of mid-life health · 2025
The Prolapse Quality of Life Questionnaire can be Used to Assess Urinary Storage Conditions in Patients Undergoing Laparoscopic Sacrocolpopexy.
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Kuroda Kenji, Hamamoto Koetsu, Kawamura Kazuki, Masunaga Ayako, Kobayashi Hiroaki, Ito Keiichi
Аннотация
OBJECTIVES: Patients with pelvic organ prolapse (POP) tend to have urinary storage symptoms. The prolapse quality of life questionnaire (P-QOL) is used to assess POP-related symptoms. However, whether the P-QOL can evaluate storage conditions before and after POP surgery remains unclear. This study aimed to evaluate whether the P-QOL could be used to assess storage dysfunction in patients with POP undergoing laparoscopic sacrocolpopexy (LSC).
MATERIALS AND METHODS: Ninety-seven patients who underwent LSC at our institution were enrolled in this study. The correlation between the selected P-QOL component question scores and the overactive bladder symptom score (OABSS) was evaluated. Differences in the selected P-QOL component question scores between the OABSS ≥3 and ≤2 groups were compared before and after surgery. The changes in the postvoid residual urine volume (PVR), selected P-QOL component question scores, and OABSS were also examined.
RESULTS: Spearman's correlation coefficient by rank test between the total selected P-QOL component question scores and OABSS revealed significant correlations before and after surgery. The box plots also showed a significant difference in the total selected P-QOL component question scores between the OABSS ≥3 and ≤2 groups before and after surgery. The PVR, selected P-QOL component question scores, and OABSS were significantly decreased after surgery compared with those before surgery.
CONCLUSION: The specific P-QOL component question scores could function as a substitute for the OABSS in patients with POP undergoing LSC. These scores may provide relatively accurate insights into the storage conditions before and after LSC.
MATERIALS AND METHODS: Ninety-seven patients who underwent LSC at our institution were enrolled in this study. The correlation between the selected P-QOL component question scores and the overactive bladder symptom score (OABSS) was evaluated. Differences in the selected P-QOL component question scores between the OABSS ≥3 and ≤2 groups were compared before and after surgery. The changes in the postvoid residual urine volume (PVR), selected P-QOL component question scores, and OABSS were also examined.
RESULTS: Spearman's correlation coefficient by rank test between the total selected P-QOL component question scores and OABSS revealed significant correlations before and after surgery. The box plots also showed a significant difference in the total selected P-QOL component question scores between the OABSS ≥3 and ≤2 groups before and after surgery. The PVR, selected P-QOL component question scores, and OABSS were significantly decreased after surgery compared with those before surgery.
CONCLUSION: The specific P-QOL component question scores could function as a substitute for the OABSS in patients with POP undergoing LSC. These scores may provide relatively accurate insights into the storage conditions before and after LSC.