Long-term follow-up of surgery of an isolated apical defect using synthetic materials and their effect on quality of life and satisfaction with life.

Abstract

<h4>Objectives</h4>Pelvic organ prolapse is an extremely important therapeutic problem and affects up to 50% of nulliparous women. Its frequency increases with age parity, and it is more common after menopause. This ailment has a negative impact on many aspects of life, significantly reducing its quality. Nowadays, not only the cure of the problem, but also the improvement of the quality of life and life satisfaction of patients is of great importance for doctors, therefore the assessment of these aspects should also be constantly evaluated. The objective of this study was to determine the quality of life and satisfaction with life of patients before, 1 year and 3 years after performing the surgery of an isolated apical defect using BSC synthetic mesh.<h4>Material and methods</h4>Of 60 patients with an isolated apical defect, 45 had sufficient medical records for the analysis. Evaluation comprised the perceived quality of life (P-QOL) and the SWLS questionnaires conducted three times.<h4>Results</h4>The results obtained for the P-QOL questionnaire carried out after 3 years show that the quality of life of the patients improved. A statistically significant increase in the quality of life was achieved in almost all domains (p < 0.05).<h4>Conclusions</h4>The results obtained after completing the satisfaction with life scale (SWLS) questionnaire indicate that 3 years after the surgery, patients' satisfaction with life showed an upward trend. Surgical treatment of an isolated apical defect using the bilateral sacrospinous colposuspension kit (AMI BSC) results in an improvement in the quality of life in most patients, even in a long-term evaluation.