Functional outcomes of posterior intravaginal slingplasty: Report on its impact on urinary, bowel and psychosexual function

Abstract

The functional impact of any clinical intervention should be the ultimate arbiter of the success of such interventions. This study evaluated the outcomes of urinary, bowel and psychosexual functions in 31 patients undergoing posterior vaginal slingplasty for pelvic organ prolapse. The results show significant improvement in all prolapse symptoms. Urinary symptoms of overactive bladder and stress incontinence improved significantly, as well as the bowel symptoms of obstructed defecation and urgency. Sexual function and psychological state also improved significantly with the procedure. Significantly, to date, this is the first study assessing the psychological impact of pelvic organ prolapse and the remission of these symptoms with the slingplasty. The posterior vaginal slingplasty is an effective procedure in prolapse correction, along with alleviation of the majority of bothersome symptoms caused by the prolapse. © 2008 Springer-Verlag.