Table 5.
Functional outcome and quality of life after sacrospinous hysteropexy and vaginal hysterectomy at 12 month follow-up. Values are medians (interquartile ranges) of domain scores unless stated otherwise
| Domains | Before surgery | 12 months after surgery | ||||
|---|---|---|---|---|---|---|
| Sacrospinous hysteropexy (n=101) | Vaginal hysterectomy (n=104) | Sacrospinous hysteropexy (n=97) | Vaginal hysterectomy (n=99) | P value* | ||
| Urogenital distress inventory†: | ||||||
| Overactive bladder | 0 (0-44) | 22 (0-33) | 0 (0-11) | 0 (0-11) | 0.34 | |
| Urinary incontinence | 17 (0-33) | 17 (0-33) | 0 (0-17) | 0 (0-17) | 0.11 | |
| Obstructive micturition | 8 (0-33) | 17 (0-33) | 0 (0-0) | 0 (0-0) | 0.71 | |
| Genital prolapse | 50 (33-67) | 67 (33-67) | 0 (0-0) | 0 (0-0) | 0.86 | |
| Pain | 17 (0-33) | 17 (0-33) | 0 (0-0) | 0 (0-0) | 0.86 | |
| Defecatory distress inventory†: | ||||||
| Obstipation | 0 (0-17) | 0 (0-17) | 0 (0-0) | 0 (0-0) | 0.65 | |
| Obstructive defecation | 0 (0-17) | 0 (0-10) | 0 (0-8) | 0 (0-8) | 0.85 | |
| Pain | 0 (0-0) | 0 (0-0) | 0 (0-0) | 0 (0-0) | 0.42 | |
| Incontinence | 0 (0-0) | 0 (0-0) | 0 (0-0) | 0 (0-0) | 0.38 | |
| Flatus | 33 (0-33) | 33 (0-33) | 0 (0-33) | 33 (0-33) | 0.20 | |
| Incontinence impact questionnaire‡: | ||||||
| Mobility | 11 (0-33) | 11 (0-22) | 0 (0-11) | 0 (0-11) | 0.50 | |
| Physical | 0 (0-33) | 0 (0-33) | 0 (0-0) | 0 (0-0) | 0.81 | |
| Social | 11 (0-22) | 0 (0-11) | 0 (0-0) | 0 (0-0) | 0.99 | |
| Embarrassment | 0 (0-17) | 0 (0-17) | 0 (0-0) | 0 (0-0) | 0.12 | |
| Emotion | 0 (0-33) | 0 (0-22) | 0 (0-0) | 0 (0-0) | 0.56 | |
| Short form-36§: | ||||||
| Physical functioning | 80 (55-90) | 80 (65-90) | 90 (75-100) | 85 (70-95) | 0.27 | |
| Social functioning | 94 (75-100) | 88 (75-100) | 100 (88-100) | 100 (75-100) | 0.20 | |
| Role limitations physical | 75 (6-100) | 100 (50-100) | 100 (100-100) | 100 (75-100) | 0.89 | |
| Role limitations emotional | 100 (75-100) | 100 (100-100) | 100 (100-100) | 100 (100-100) | 0.78 | |
| Mental health | 84 (72-92) | 84 (72-88) | 84 (76-92) | 84 (72-92) | 0.57 | |
| Vitality | 70 (50-80) | 70 (55-80) | 75 (55-80) | 75 (65-80) | 0.39 | |
| Bodily pain | 78 (59-100) | 80 (67-100) | 100 (67-100) | 100 (78-100) | 0.92 | |
| General health perception | 75 (55-85) | 75 (61-85) | 75 (60-90) | 75 (60-90) | 0.72 | |
| Health change | 50 (25-50) | 50 (50-50) | 75 (50-100) | 75 (50-100) | 0.52 | |
All patients were analysed as allocated.
*P value for exploratory purposes: Mann-Whitney U test of sacrospinous hysteropexy versus vaginal hysterectomy.
†0=no symptoms or not bothersome to 100=most bothersome symptoms.
‡0=best quality of life to 100=worst quality of life.
§0=worst quality of life to 100=best quality of life.