The largest reduction in pain symptoms following POP repair was registered for visceral complaints (87%), followed by the anterior (84%) and then the posterior (45%). Pelvic floor reconstructive surgery resulted in significant cure or improvement in all pain types, intensities and locations, and these improvements were stable over 2 years. Results: Preoperatively, 67% of all POP patients reported moderate-to-severe pain, mainly of visceral character. The present treatise is concentrated on the evaluation of the PFDI pain symptoms consisting of six questions for describing different types of pain. The investigation of all or specific domains of PFDI symptoms were declared as secondary objectives of that study.
#PAINA 93.1 TRIAL#
In the Propel trial subjective assessments of presumable POP symptoms before and 6, 12 and 24 months after surgery were registered too utilizing the pelvic floor disorder inventory (PFDI) questionnaire. The degree of POP repair during a follow-up of 2 years was the primary endpoint of the study and has already evaluated previously. Identifier: NCT00638235), where a total of 281 women with stage 2-4 symptomatic POP underwent prolapse repair using the transvaginal, single-incision “Elevate” technique for anterior/apical and posterior/apical prolapse. Methods: The study data were collected in a past multicenter prospective study (Propel-Study Clinical Trials.Cov. Short title: POP and Pelvic Floor Reconstructionīackground: The aims of the study were to examine the type, severity and prevalence of pain in women with pelvic organ prolapse (POP) before and after pelvic floor reconstructive surgery, and to evaluate the effect of POP reconstruction over a period of 2 years. Manuscript submitted September 29, 2020, accepted November 11, 2020, published online December 15, 2020 GCorresponding Author: Bernhard Liedl, Zentrum fur Rekonstruktive Urogenitalchirurgie, Urologische Klinik Planegg, Germeringer Strasse 32, D-82152 Munchen-Planegg, Germany Sutherland d, Alexander Yassouridis e, Magdalena Witczak a, Jan-Paul Roovers fĪZentrum fur Rekonstruktive Urogenitalchirurgie, Urologische Klinik Planegg, GermanyīMedical School of Hannover, Neustadt/Weinstrasse, GermanyĬGynecology, Beckenbodenzentrum Planegg, GermanyĭUrology, The Pelvic Health Center, University of Washington, Seattle, WA, USAĮEthical Committee, Ludwig-Maximilians-University Munich, GermanyįAcademic Medical Centre/University of Amsterdam, Amsterdam, The Netherlands Bernhard Liedl a, g, Klaus Goeschen b, Naira Grigoryan c, Suzette E.
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