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INTRODUCTION AND OBJECTIVES: The Urine Distress Inventory (UDI6) represents a valuable validated tool to assess urine function quality of life. We aimed to explore short-term quality of life changes (QOL) after Robot Assisted Sacrocolpopexy with Pelvic Floor Repair.
METHODS: Patients with pelvic floor relaxation who opted for robotic pelvic floor reconstruction with or without hysterectomy with sacrocolpopexy were provided the Urine Distress Inventory (UDI6) with two additional questions: a - number of pads wore on a daily basis and b- overall assessment of urinary function. The same questionnaires were provided to patients 2 to 4 weeks after their surgery. We aimed to determine the changes in QOL after robot-assisted sacrocolpopexy with Pelvic Floor Repair.
RESULTS: Thirty-two women underwent robotic pelvic floor reconstruction with sacrocolpopexy between April 2011 and October 2012. Robotic hysterectomy was performed concomitantly in 8 of them and no one had a sling procedure. A total of 27 (84%) of these responded the questionnaires before and within a month of surgery. Preoperatively, 78% (21/27) reported urinary incontinence, this improved to 37% (10/27) postoperatively, fisher exact, p=0.2. However, for questions 2-6 of the UID-6 statistically significant improvements in scores were seen. Paired differences for Q2 (-1.37, p<0.01); Q3 (-1.11, p<0.01); Q4 (-1.30, p<0.01); Q5 (-0.82, p<0.01); Q6 (-0.63, p=0.03). Q7 that assesses pain or discomfort in the lower abdomen showed an insignificant increase of 0.12 (p=0.5) after surgery. Urinary function perception showed the highest paired difference (greater improvement) -2.15, p<0.01 after Surgery.
CONCLUSIONS: Within a month from Robotic pelvic floor reconstruction with or without hystectectomy with sacrocolpopexy a substantial improvement in urinary QOL outcomes is observed.