scholarly journals Bowel Endometriosis Syndrome: a new scoring system for pelvic organ dysfunction and quality of life

2017 ◽  
Vol 32 (9) ◽  
pp. 1812-1818 ◽  
Author(s):  
M. Riiskjær ◽  
A.G. Egekvist ◽  
D. Hartwell ◽  
A. Forman ◽  
M. Seyer-Hansen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Organ Dysfunction ◽  
Scoring System ◽  
Pelvic Organ ◽  
Bowel Endometriosis ◽  
New Scoring

Management of lower urinary tract, bowel, and sexual dysfunction

2020 ◽  
pp. 315-338
Author(s):  
Ulrich Mehnert ◽  
Thomas M. Kessler
Keyword(s):  
Quality Of Life ◽  
Urinary Tract ◽  
Sexual Dysfunction ◽  
Organ Dysfunction ◽  
Lower Urinary Tract ◽  
Inpatient Rehabilitation ◽  
Pelvic Organ ◽  
Major Surgery ◽  
Lower Urinary

Lower urinary tract, bowel, and sexual dysfunctions are frequent sequelae of neurotrauma and neurodegenerative diseases that require adequate management. All three pelvic organ dysfunction severely compromise quality of life and can jeopardize health. Thus, treatment is mandatory and therapy options range from simple conservative measures to major surgery. The main therapeutic principles that should be considered in regard to treatment of pelvic organ dysfunction include protection of kidney function, reduction of urinary and/or faecal incontinence, independent management of lower urinary tract and bowel function, ability to sustain a satisfactory sexual relationship, fertility support, and improvement of quality of life. To comply with such principles and to select, initiate, maintain, and eventually adapt the ‘optimal’ treatment regimen for each patient requires a specialized multidisciplinary team not only during inpatient rehabilitation but also during outpatient follow-up. This chapter provides an overview on the management of lower urinary tract, bowel, and sexual dysfunction and aims to sensitize healthcare professionals for this essential part/aspect of neurorehabilitation.

Pre-fracture quality of life predicts 1-year survival in elderly patients with hip fracture—development of a new scoring system

2016 ◽  
Vol 27 (6) ◽  
pp. 1979-1987 ◽  
Author(s):  
C. Bliemel ◽  
R. Sielski ◽  
B. Doering ◽  
R. Dodel ◽  
M. Balzer-Geldsetzer ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Hip Fracture ◽  
Elderly Patients ◽  
Scoring System ◽  
Fracture Development ◽  
New Scoring

scholarly journals Pelvic organ prolapse surgery and health-related quality of life: a follow-up study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tadesse Belayneh ◽  
Abebaw Gebeyehu ◽  
Mulat Adefris ◽  
Guri Rortveit ◽  
Janne Lillelid Gjerde ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Prolapse Surgery ◽  
Stage Iii ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Abstract Background Symptomatic prolapse impairs quality of life. Health-related quality of life (HRQoL) is considered an important outcome of pelvic organ prolapse (POP) surgery. However, it is rarely reported, and measures are inadequately used. Thus, studies reporting patient-reported surgical outcomes in low-income contexts are needed. This study aims to evaluate the effect of prolapse surgery on patient HRQoL and determine the predictive factors for change in HRQoL. Methods A total of 215 patients who had prolapse stage III or IV were enrolled. Patients underwent vaginal native tissue repair, and their HRQoL was evaluated at baseline, 3 and 6 months postoperatively. Effect of surgery on subjective outcomes were measured using validated Prolapse Quality of Life (P-QoL-20), Prolapse Symptom Score (POP-SS), Body Image in Prolapse (BIPOP), Patient Health Questionnaire (PHQ-9), and Patient Global Index of Improvement (PGI-I) tools. A linear mixed-effect model was used to compare pre- and postoperative P-QoL scores and investigate potential predictors of the changes in P-QoL scores. Results In total, 193 (89.7%) patients were eligible for analysis at 3 months, and 185 (86.0%) at 6 months. Participant’s mean age was 49.3 ± 9.4 years. The majority of patients had prolapse stage III (81.9%) and underwent vaginal hysterectomy (55.3%). All domains of P-QoL improved significantly after surgery. Altogether more than 72% of patients reported clinically meaningful improvement in condition-specific quality of life measured with P-QoL-20 at 6 months. An improvement in POP-SS, BIPOP, and the PHQ-9 scores were also observed during both follow-up assessments. At 6 months after surgery, only 2.7% of patients reported the presence of bulge symptoms. A total of 97.8% of patients had reported improvement in comparison to the preoperative state, according to PGI-I. The change in P-QoL score after surgery was associated with the change in POP-SS, PHQ, BIPOP scores and marital status (p < 0.001). However, age, type of surgery, and prolapse stage were not associated with the improvement of P-QoL scores. Conclusions Surgical repair for prolapse effectively improves patient’s HRQoL, and patient satisfaction is high. The result could be useful for patient counselling on the expected HRQoL outcomes of surgical treatment. Surgical service should be accessible for patients suffering from POP to improve HRQoL.

Would integrating women's professional care of pelvic organ prolapse improve the symptoms and quality of life: an integrative literature review

2020 ◽  
Vol 28 (2) ◽  
pp. 119-133
Author(s):  
Nicola Davies ◽  
Teresa Burdett
Keyword(s):  
Quality Of Life ◽  
Pelvic Organ Prolapse ◽  
Conservative Treatment ◽  
Conservative Management ◽  
Integrated Approach ◽  
Pelvic Organ ◽  
Social Implications ◽  
Content Type ◽  
Practical Implications

PurposeIntegrated healthcare is a central tenant of the NHS Long Term Plan (NHS, 2019). NICE in 2019 published guidelines; advising the integration of multidisciplinary professionals which may lead to an improvement in conservative treatment methods of pelvic organ prolapse. Therefore, current literature on the conservative treatments for pelvic organ prolapse needs to be reviewed to ascertain if an integrated approach would improve the symptoms and quality of life for women.Design/methodology/approachA systematic review of the literature between 2013 and 2018 was implemented. Papers included were written in English, peer-reviewed and consisted of treatments of pelvic organ prolapse in women. Papers containing surgical interventions, postpartum participants, reviews, evaluations, guidelines, follow-up studies, focusing on cost effectiveness, sexual function were excluded.FindingsSeven studies in total were included, and two overarching themes were identified: quality of life after treatment and the effect of conservative treatment on pelvic organ prolapse symptoms. The literature suggested that integrating care had a more positive outcome on pelvic organ symptoms and quality of life.Research limitations/implicationsTo develop a robust enhanced model of care for conservative treatment of pelvic organ prolapse through more mixed method or qualitative research, that incorporates integrative treatment methods with collaboration from multidisciplinary professionals.Practical implicationsThe practical implications of integrating the conservative management of pelvic organ prolapse is the communication between the multidisciplinary team must be exceptional to ensure everyone understands and agrees the treatment that is being provided to patient. Also, effective teamwork is important to ensure the patient receives the best care with input from the correct disciplines. The multi-professional team will need to have regular meetings to discuss and implement care plans for patients that might prove difficult to schedule due to differing commitments and priorities. This must be overcome to insure a successful and effective integrated approach to pelvic organ prolapse is delivered.Social implicationsThe social implications of integrating the professional approach to women's care of pelvic organ prolapse involves reducing the severity of the symptoms therefore, increasing the quality of life. This may result in the reduction of surgical intervention due to the patient being satisfied with the conservative management. Through integrating the management of the prolapse the patient will receive an accessible individualised care plan pathway that focuses on treating or reducing the impact of the symptoms that are bothersome to the patient whilst managing patient expectations. Patients will also, be reassured by the number of multi-disciplinary professionals involved in their care.Originality/valueGlobal integration of conservative treatments and multidisciplinary-professionals specialising in pelvic organ prolapse and pelvic floor dysfunction is needed.

Quality of Life (QoL) in Children After Small Bowel Transplantation (SBTx) Using a Validated Generic Scoring System, the Euroqol EQ-5DY

2017 ◽  
Vol 101 ◽  
pp. S88
Author(s):  
Lindsay Hogg ◽  
Sarah Pugh ◽  
Girish Gupte ◽  
Jane Hartley ◽  
Rob Jobe ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Small Bowel ◽  
Scoring System ◽  
Small Bowel Transplantation

scholarly journals Novos tratamentos para a incontinência anal: injeção de silicone melhora a qualidade de vida em 35 pacientes incontinentes

2007 ◽  
Vol 27 (2) ◽  
pp. 167-173 ◽  
Author(s):  
Lucia de Oliveira ◽  
José Marcio Neves Jorge ◽  
Sonia Yusuf ◽  
Angelita Habr-Gama ◽  
Desidério Kiss ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Fecal Incontinence ◽  
Scoring System ◽  
Cleveland Clinic

Demonstrar através do índice de incontinência e de um instrumento de qualidade de vida, o benefício da utilização do silicone como substância de preenchimento para o tratamento da incontinência anal. 35 pacientes incontinentes foram avaliados através do índice de incontinência (Cleveland Clinic Florida Scoring System-CCFSS) e instrumento de qualidade de vida (Fecal Incontinence Quality of Life-FIQL), antes e após injeção ambulatorial trans-esfincteriana de silicone. Os critérios de inclusão foram: incontinência anal associada a defeito simples do esfíncter interno ou associado a pequeno defeito do esfíncter externo em quadrante anterior. A escala de qualidade de vida avaliada inclui quatro domínios: depressão, estilo de vida, comportamento e constrangimento. Após 3 meses de tratamento, todos os pacientes foram reavaliados através do índice de incontinência e instrumento de qualidade de vida. Os resultados foram analisados estatisticamente através do programa GraphPd Instat. 28 mulheres e 7 homens com idade média de 60,3 (19-80) anos foram submetidos a injeção de silicone para o tratamento de incontinência anal. O índice médio de incontinência, antes e após a injeção, foi de 11,3 e 4,3 (p<0.001). Em relação às alterações na escala de qualidade de vida, notamos significantes alterações em todos os domínios estudados antes e após a injeção: (1) estilo de vida p<0,0001;(2)comportamento p<0,0001;(3) depressão p<0,0001; (4) constrangimento p<0,0001. Em casos selecionados, a injeção trans-esfincteriana de silicone proporciona uma melhora do quadro de incontinência anal, observada pela mudança significativa dos parâmetros do índice de incontinência e instrumento de qualidade de vida.

A 2-Year Evaluation of Quality of Life Outcomes of Patients With Pelvic Organ Prolapse Treated With an Elevate Prolapse Repair System

2016 ◽  
Vol 22 (6) ◽  
pp. 410-414 ◽  
Author(s):  
Danilo Italo Pio Buca ◽  
Martina Leombroni ◽  
Eleonora Falò ◽  
Matteo Bruno ◽  
Alessandro Santarelli ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Repair System ◽  
Life Outcomes ◽  
Prolapse Repair ◽  
Quality Of Life Outcomes
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