Infracoccygeal sacropexy improves the quality of life of women with uterine prolapse

Objectives: This study evaluated the quality of life following infracoccygeal sacropexy in patients with pelvic organ prolapse by using the short versions of the Pelvic Floor Distress Inventory (PFDI-20) and the Pelvic Floor Impact Questionnaire (PFIQ-7). Methods: We prospectively studied 35 women who underwent infracoccygeal sacropexy for the management of uterine or stump prolapse. The recurrence of pelvic organ prolapse was assessed 6 months after surgery. The prolapse, urinary, and colorectal scales of PFDI-20 and PFIQ-7 were assessed at baseline and 6 months after surgery. Results: The preoperative grade of prolapse was 2.7 ± 0.7; 6 months after the surgery, it decreased to 0.4 ± 0.6. PFDI-20 and its 3 respective scales demonstrated statistically significant improvements following the surgery (P < 0.05). (POPDI-6 score, 57.7 ± 12.3 vs. 41.6 ± 8.3; CRADI-8 score, 36.6 ± 7.2 vs. 28.5 ± 3.2; and UDI-6 score, 57.1 ± 14.8 vs. 33.9 ± 7.6; preoperatively vs. postoperatively) The three scales of PFIQ-7, namely, UIQ-7, CRAIQ-7, and POPIQ-7, exhibited statistically significant improvements after the surgery (UIQ-7 score, 22.3 ± 5.6 vs. 9.8 ± 3.8; CRAIQ-7 score, 11.1 ± 4.2 vs. 28.8 ± 7.1; and POPIQ-7 score, 38.7 ± 12.5 vs. 16.9 ± 7.8; preoperatively vs. postoperatively). Conclusions: Infracoccygeal sacropexy was an effective method for the management of uterine/stump prolapse; further, it improved the quality of life of women with pelvic organ prolapse.