Articles
8 July 2025

Changes in quality of life using the Pelvic Floor Distress Inventory Short Forms 20 following vaginal surgery in women with pelvic organ prolapse: a prospective cohort study

Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
21
Views
4
Downloads

Authors

Pelvic organ prolapse (POP) is a condition in which the genital organs are protruding into the vagina. Therapeutic approaches to POP consist of conservative treatment and surgery. The Pelvic Floor Distress Inventory Short Forms 20 (PFDI-20) questionnaire has been used to assess the quality of life of patients. This prospective cohort study, conducted at Dr. Soetomo Hospital from 2022 to 2024, aims to determine the effectiveness of vaginal surgery in improving quality of life in women with POP, based on PFDI-20. Data containing a self-administered questionnaire about quality of life by PFDI-20 were recorded. A questionnaire was administered before and 6 months after surgery. Data were analyzed using a paired t-test, an independent t-test, and one-way analysis of variance. Data analysis was done using SPSS 24.0. In this study, 40 subjects were involved. The age of subjects was between 40 and 77 years, with a mean of 56.25±9.61. According to the paired t-test, there is a significant difference between the mean PFDI-20 score before (23.48±7.86) and 6 months after surgery (7.16±3.57), with a mean difference in the decrease in the PFDI-20 score of 16.32 (p=0.001). There was significant improved quality of life in women with POP after vaginal surgery.

Altmetrics

Downloads

Download data is not yet available.

Citations

Kim CM, Jeon MJ, Chung DJ, et al. Risk factors for pelvic organ prolapse. Int J Gynaecol Obstet 2007;98:248-51. DOI: https://doi.org/10.1016/j.ijgo.2007.02.019
Patel PD, Amrute KV, Badlani GH. Pelvic organ prolapse and stress urinary incontinence: A review of etiological factors. Indian J Urol 2007;23:135-41. DOI: https://doi.org/10.4103/0970-1591.32064
Jelovsek JE, Barber MD. Women seeking treatment for advanced pelvic organ prolapse have decreased body image and quality of life. Am J Obstet Gynecol 2006;194:1455-61. DOI: https://doi.org/10.1016/j.ajog.2006.01.060
Tega A, Yenealem F, Belay G, et al. Quality of life and its associated factors among women with pelvic organ prolapse who attend gynecology clinics Southern Ethiopia 2022. BMC Womens Health 2024;24:398. DOI: https://doi.org/10.1186/s12905-024-03238-1
Tefera Z, Temesgen B, Arega M, et al. Quality of life and its associated factors among women diagnosed with pelvic organ prolapse in gynecology outpatient department Southern Nations, Nationalities, and Peoples region public referral hospitals, Ethiopia. BMC Womens Health 2023;23:342. DOI: https://doi.org/10.1186/s12905-023-02507-9
Wang B, Chen Y, Zhu X, et al. Global burden and trends of pelvic organ prolapse associated with aging women: An observational trend study from 1990 to 2019. Front Public Health 2022;10:975829. DOI: https://doi.org/10.3389/fpubh.2022.975829
Smith A. Pelvic floor dysfunction: uterovaginal prolpase. In: Edmonds D, ed. Dewhurst’s textbook of obstetrics & gynecology. Milton, Australia: Balckwell Publishing; 2007. pp. 496-503. DOI: https://doi.org/10.1002/9780470753354.ch48
Abdool Z, Thakar R, Sultan AH, Oliver RS. Prospective evaluation of outcome of vaginal pessaries versus surgery in women with symptomatic pelvic organ prolapse. Int Urogynecol J 2011;22:273-8. DOI: https://doi.org/10.1007/s00192-010-1340-9
Barber MD, Walters MD, Cundiff GW. Responsiveness of the pelvic floor distress inventory (PFDI) and pelvic floor impact questionnaire (PFIQ) in women undergoing vaginal surgery and pessary treatment for pelvic organ prolapse. Am J Obstet Gynecol 2006;194:1492-8. DOI: https://doi.org/10.1016/j.ajog.2006.01.076
Doaee M, Moradi-Lakeh M, Nourmohammadi A, et al. Management of pelvic organ prolapseand quality of life: a systematic review and meta-analysis. Int Urogynecol J 2014:25:153-63. DOI: https://doi.org/10.1007/s00192-013-2141-8
Ghanbari Z, Ghaemi M, Shafiee A, et al. Quality of life following pelvic organ prolapse treatments in women: a systematic review and meta-analysis. J Clin Med 2022;11:7166. DOI: https://doi.org/10.3390/jcm11237166

How to Cite



Changes in quality of life using the Pelvic Floor Distress Inventory Short Forms 20 following vaginal surgery in women with pelvic organ prolapse: a prospective cohort study. (2025). Urogynaecologia, 37. https://doi.org/10.4081/uij.2025.340