Body Image, Regret, and Satisfaction 24 Weeks After Colpocleisis: A Multicenter Study

Area of Science:

• Gynecologic surgery
• Pelvic floor disorders
• Surgical outcomes

Background:

• Pelvic organ prolapse (POP) significantly impacts women's quality of life.
• Colpocleisis is a surgical option for POP, but its effects on patient-reported outcomes require further evaluation.
• Understanding the impact on body image, satisfaction, and regret is crucial for patient counseling.

Purpose of the Study:

• To evaluate the impact of colpocleisis on body image, regret, satisfaction, and pelvic floor symptoms.
• To assess the durability of these outcomes at 24 weeks post-surgery.

Main Methods:

• Prospective multicenter study involving 90 women undergoing colpocleisis.
• Outcomes assessed at 24 weeks included body image, regret, satisfaction, and pelvic floor symptoms using validated questionnaires.
• Sample size calculated for significant change in body image scores.

Main Results:

• Significant improvements in all pelvic floor symptoms were sustained at 24 weeks.
• Body image scores showed lasting significant improvement compared to preoperative scores (P < 0.001).
• Patients reported high satisfaction (mean [SD] 4.6 [0.6]) and low regret (mean [SD] 1.5 [0.7]).

Conclusions:

• Colpocleisis is a highly effective treatment for pelvic organ prolapse.
• The procedure leads to significant improvements in pelvic floor symptoms and body image.
• High patient satisfaction and low regret confirm colpocleisis as an excellent option for appropriate candidates.