Kousgaard SJ, et al. – This article was written with the objective to depict patient–reported goals after an anterior colporrhaphy operation for anterior vaginal wall prolapse, the fulfilment of goals, and the correlation with subjective patient–reported outcomes. In light of these outcomes, patient–depicted goal achievement was high. The majority of the fulfilled goals concerned mechanical symptoms of bulging and goals concerning incontinence were the least fulfilled.

Methods

• For this research, they conducted a prospective study.
• Total 100 women was enrolled in this study.
• Preoperatively, patients completed three modified questions from the International Consultation on Incontinence Questionnaire – Vaginal Symptoms (ICIQ–VS) named ICIQ–VS short form (ICIQ–VS SF) and stated three goals for the operation.
• After 3 months of the operation, they performed a telephone interview.

Results

• A Visual Analogue Scale (VAS) score from one to 10 estimated the extent to which goals were achieved.
• They divided goals into eight groups: 1: mechanical symptoms (bulging), 2: voiding symptoms, 3: quality of life (physical), 4: quality of life (emotional), 5: avoidance of urinary tract infection, 6: cure of incontinence, 7: sexual function and 8: others.
• ICIQ–VS SF preoperatively was mean 13.6 and postoperatively mean 1.7 (p < 0.001).
• A total of 276 goals were stated.
• Among these goals, 63.4% of the goals were fulfilled with a VAS score of 10.
• The majority of the goals (27%) were in group 1 concerning symptoms of bulging.
• Mean VAS score for all goals was 8.6 (SD 2.5).
• Group 1 concerning mechanical symptoms of bulging had most goals fulfilled with a VAS of 10 (76%), and group 6 concerning cure of incontinence had fewest goals fulfilled with a VAS of 10 (31%).
• Forty patients (40%) fulfilled all their goals.