Nepalese data

A longitudinal study on the impact of surgical treatment on Quality Of Life (QOL) was conducted in selected central and peripheral hospitals in Nepal where POPsurgery was being performed free of cost.3A baseline study first measured the QOL domains (physical, psychological, social relationships and environment) among 252 women with advanced POP. Follow-up data were collected at six weeks and at three months after surgery. Among the 177 women that were available at six weeks post-surgery, 166 participated also in the three months post-surgery follow up. To evaluate QOL at baseline, 142 women with no history of POP were included as a comparison group.

The mean scores across QOL domains improved from baseline to 3 months after surgery. In the comparison group there was no improvement at all. The conclusion was that QOL progressively improved among women undergoing surgery for POP. In this study, the anatomical result of surgery was not an objective.

Vaginal hysterectomy and pelvic floor repair has been the preferred treatment for long time. Because of high recurrence rate (vault prolapse)father procedures like sacrospinous fixation are also being carried out in recent years.7