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Short-Term Quality of Life Outcomes After Robotic Pelvic Floor Reconstruction with Sacrocolpopexy
Igor I. Kislinger, MD, Prashanth Kanagarajah, MD, Isabel H. Lopez, Major in Consultation, Edward L. Gheiler, MD, Fernando J. Bianco, MD.
Urological Research Network, Miami, FL, USA.

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.


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