Étude préliminaire de l’évaluation de la qualité de vie comme critère décisionnel pour la chirurgie du prolapsus génital View Full Text


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Article Info

DATE

2011-03

AUTHORS

C. Chauvin, M. Ballester, E. Chéreau, R. Rouzier, E. Daraï

ABSTRACT

Évaluer à l’aide de questionnaires validés les symptômes liés au prolapsus, la qualité de vie et la sexualité des patientes avant et après chirurgie du prolapsus génital et en déduire si la qualité de vie préopératoire pourrait être un critère décisionnel pour la chirurgie. De novembre 2009 à avril 2010, 16 patientes opérées pour prolapsus génital de grade supérieur ou égal à 2 (POP-Q classification) ont été évaluées prospectivement par trois questionnaires de qualité de vie (pelvic floor distress inventory [PFDI-20], pelvic floor impact questionnaire [PFIQ-7] et pelvic organ prolaps/urinary incontinence sexual questionnaire [PISQ-12]). Les données étaient recueillies la veille de l’intervention et six semaines après l’intervention. Onze patientes ont été opérées par cœlioscopie et cinq par voie vaginale. Le score des symptômes de prolapsus, le PFDI-20, était de 98,5 en préopératoire et de 31,8 en postopératoire (p < 0,0001). Le score de la qualité de vie, le PFIQ-7 était de 54,5 en préopératoire et de 7,4 en postopératoire (p = 0,001). Le score de sexualité PISQ-12 était de 73,5 en préopératoire et de 78,1 en postopératoire (p = 0,1). Aucune complication importante n’a été observée sur cette période. L’utilisation du questionnaire PFIQ-7 permet de constater que 2/16 patientes n’ont pas eu de bénéfice de la chirurgie. Deux des trois patientes ayant un PFIQ-7 inférieur ou égal à 20 n’ont pas été améliorées alors que toutes les patientes ayant un score supérieur à 20 ont été améliorées. Cette étude démontre l’efficacité de la chirurgie du prolapsus avec une amélioration significative des échelles de qualité de vie. Ces questionnaires permettent d’obtenir un score chiffré et pourraient être une aide pour poser l’indication chirurgicale. More... »

PAGES

8-14

Journal

TITLE

Pelvi-périnéologie

ISSUE

1

VOLUME

6

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11608-010-0342-x

DOI

http://dx.doi.org/10.1007/s11608-010-0342-x

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1052538798


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32 schema:description Évaluer à l’aide de questionnaires validés les symptômes liés au prolapsus, la qualité de vie et la sexualité des patientes avant et après chirurgie du prolapsus génital et en déduire si la qualité de vie préopératoire pourrait être un critère décisionnel pour la chirurgie. De novembre 2009 à avril 2010, 16 patientes opérées pour prolapsus génital de grade supérieur ou égal à 2 (POP-Q classification) ont été évaluées prospectivement par trois questionnaires de qualité de vie (pelvic floor distress inventory [PFDI-20], pelvic floor impact questionnaire [PFIQ-7] et pelvic organ prolaps/urinary incontinence sexual questionnaire [PISQ-12]). Les données étaient recueillies la veille de l’intervention et six semaines après l’intervention. Onze patientes ont été opérées par cœlioscopie et cinq par voie vaginale. Le score des symptômes de prolapsus, le PFDI-20, était de 98,5 en préopératoire et de 31,8 en postopératoire (p < 0,0001). Le score de la qualité de vie, le PFIQ-7 était de 54,5 en préopératoire et de 7,4 en postopératoire (p = 0,001). Le score de sexualité PISQ-12 était de 73,5 en préopératoire et de 78,1 en postopératoire (p = 0,1). Aucune complication importante n’a été observée sur cette période. L’utilisation du questionnaire PFIQ-7 permet de constater que 2/16 patientes n’ont pas eu de bénéfice de la chirurgie. Deux des trois patientes ayant un PFIQ-7 inférieur ou égal à 20 n’ont pas été améliorées alors que toutes les patientes ayant un score supérieur à 20 ont été améliorées. Cette étude démontre l’efficacité de la chirurgie du prolapsus avec une amélioration significative des échelles de qualité de vie. Ces questionnaires permettent d’obtenir un score chiffré et pourraient être une aide pour poser l’indication chirurgicale.
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