Quality of Life among Patients after Vaginal Hysterectomy and Pelvic Floor Repair Operation
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 3
Abstract
Objective: To find out the complications affecting the quality of life after vaginal hysterectomy and pelvic floor repair operation. Methods and Materials: This is a prospective cross sectional study enrolled from Obstetrics and Gynaecology Department of Shaheed Suhrawardy Medical College and Hospital, Dhaka done with 50 randomly selected cases in the period between July 2009 to 31st December 2009. Results- In this study 100% patients had history of something coming down per vagina. Many patients(40%) had varying degree of urinary problem, stress incontinence was present in a significant number of cases(12%). 20% had some vaginal discharge. The commonest type of prolapse was second degree (76%). In present series no major surgical complication or unexpected haemorrhage occurs postoperatively. There was no mortality in this series, febrile reaction was the commonest minor complication experienced by the postoperative patients. In present series the percentage of urinary tract infection was 16%, most of the patients had to stay in the hospital for about 7days only 24% had to stay for more than 1 week for infection. 4% had stress incontinence & 8% experienced dyspareunia. Conclusion: Most of the patients had average peroperative bleeding (72%) and 50% patients had blood stained pervaginal discharge, 32% had febrile reaction, 16% experienced urinary tract infection in the postoperative period. There was no mortality in this study and average postoperative hospital stay was 7 days. Then follow up of the patient and found only 8% had experienced dyspareunia, 4% had urinary incontinence and no one had vault prolapse within six months postoperatively.
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S Lovereen
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