Pelvic Floor Disorders Following Hysterectomy for Benign Conditions of Uterus and Endometrial Carcinoma - A Long-term Follow-up Study
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 8
Abstract
Background: Vaginal vault prolapse occurs usually as a consequence of prior hysterectomy. Other causes are inborn or age dependent insufficiency of soft tissue, damage to the pelvic floor during and after childbirth and obesity (>BMI) and other conditions that increase intra-abdominal pressure. Aim of the Study: To study measured symptoms of pelvic floor disorders (PFD) and their effect on quality of life in post Hysterectomy women for Benign and Malignant lesions of Endometrium. Materials and Methods: 134 women with post Hysterectomy history were included. Demographic data, height, weight, BMI, time since surgery, Staging of endometrial carcinoma, type of hysterectomy, menopausal status, hormone replacement status, smoking status, parity, and number of vaginal deliveries were elicited. Severity of the symptoms of (PFD) Pelvic Floor Distress Inventory (PFDI-20) was used. This consisted of 3 subscales: Urinary Distress Inventory (UDI-6), Pelvic Organ Prolapse Distress Inventory (POPDI-6), and Colorectal-Anal Distress Inventory (CRADI-8). Observations and Results: 134 women were divided into 2 groups. Group A patients who have undergone Hysterectomy for benign conditions of endometrium and group B for malignant conditions of endometrium. Age groups were 30 -60; mean age of 44.72±4.60 years. In group A, PFD symptoms of POPDI-6 were 46/84 (54.76%), CRADI-8 were 57/84 (67.85%) and UDI-6 were 61/84 (72.61%) patients. In group B, PFD symptoms of POPDI-6 were reported by 33/50 (66%), CRADI-8 by 32/50 (64%) and UDI-6 by 30/50 (60%) patients. Conclusions: Prevalence of Pelvic Floor Disease is higher in our study of Post Hysterectomy women undergoing for both benign and malignant indications. The degree of symptoms most commonly was mild but the patients should be enquired about these symptoms that are possible. There was more than one organ system of pelvic floor that was involved.
Authors and Affiliations
Pendekanti Padmaja
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