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Updated: Jun 17, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse
Published on: October 25, 2024
Validation of the Patient Global Impression of Improvement (PGI-I) for urogenital prolapse
Sushma Srikrishna1, Dudley Robinson, Linda Cardozo
1Department of Urogynaecology, King's College Hospital, London, UK. sushmasrikrishna@hotmail.com
Introduction And Hypothesis:
Currently, there is no global outcome assessment index in prolapse research. Patient Global Impression of Improvement (PGI-I) has only been validated in incontinence. Our aim was to validate its use following prolapse surgery.
Methods:
Women with prolapse were recruited from waiting lists and assessed objectively (pelvic organ prolapse quantification system (POP-Q)). Quality of life (QoL) was assessed with prolapse QoL questionnaire (pQoL). Patient goal achievement (visual analogue scale (VAS)) determined subjective satisfaction and PGI-I indicated overall satisfaction. We established construct validity of PGI-I by correlating final PGI-I response with other measures of response, measured at 1 year: (POP-Q/pQoL/VAS) RESULTS: There was excellent test-retest reliability and correlation between PGI-I and other outcome measures.
Conclusion:
We believe this is the first study validating PGI-I as a global index of response to prolapse surgery. This may be a valuable addition not only in clinical practice but also in trials comparing surgical interventions.
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