Burcu Sarigedik

Background: Pelvic organ prolapse (POP) significantly impacts the quality of life, particularly in older women with a history of vaginal deliveries. Although conservative treatments provide some symptom relief, surgical interventions are more effective for managing POP. This study compares the outcomes and effectiveness of sacrospinous ligament fixation (SSLF) and laparoscopic lateral suspension (LLS) surgeries in the treatment of POP. Methods: This retrospective comparative cohort study included patients with symptomatic stage 2 or higher apical POP, treated at a tertiary hospital in Turkey between April 2021 and June 2022. Patients were treated with either SSLF or LLS surgeries and underwent preoperative and postoperative evaluations using the Prolapse Quality of Life (P-QoL) questionnaire and the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). Patients were divided into two groups: SSLF (n = 47) and LLS (n = 44). The primary outcome was the rate of anatomical failure, while secondary outcomes included improvements in functional capability and quality of life. Results: The study found that the rate of postoperative anterior compartment failure was significantly lower in the LLS group compared to the SSLF group (p = 0.005). The success rate of LLS for apical prolapse was 100%, compared to 93.6% for SSLF. In the posterior compartment, SSLF demonstrated a higher success rate (86.2%) than LLS (68.5%). Both procedures improved P-QoL scores and the PISQ-12 subscales; however, a significant improvement in total PISQ-12 scores was observed only in the LLS group (p = 0.009). Conclusions: Both SSLF and LLS are effective in treating POP and enhancing quality of life. However, LLS demonstrated higher success rates for anterior and apical prolapse, while SSLF was more effective in addressing in posterior compartment defects.

Objective: In the pandemic, pregnant women are at the forefront of the disadvantaged groups and need special needs related to more mental problems. This study aims to evaluate the pandemic anxiety of pregnant women and how their sleep and quality of life are affected. Materials and Methods: 200 pregnant and 200 control patients were included in the study. Informed consent was obtained from the participants. They were asked to fill out the sociodemographic data form, The Coronavirus Anxiety Scale (CAS), the Pittsburgh sleep quality index (PSQI), and the 12-Item Short Form Survey (SF-12) Quality of Life scale. Results: No statistically significant difference was found in the CAS between pregnant and healthy controls (p=0.093). While the physical score subscale of the SF-12 Quality of Life Scale (SF12-PCS) scored statistically significantly higher in pregnant women compared to the healthy controls, the mental score subscale (SF12-MCS) scored significantly lower (respectively: p<0.001; p=0.009). A statistically weak correlation was found between coronavirus anxiety and sleep quality (r:0.222; p=0.002). Conclusions: The pandemic process affects pregnant women's sleep quality and mental quality of life terribly. Clinicians should take care to evaluate the sleep quality of pregnant women in this process. Amaç: Covid-19 pandemi süreci, insanların büyük çoğunluğunu ruhsal ve fiziksel olarak etkileyen önemli bir toplumsal durumdur. Bu süreçte dezavantajlı olan ve daha fazla düşünülmesi gereken grupların başında gebeler gelmektedir. Bu çalışmanın amacı gebelerin pandemi kaygısını, uyku ve yaşam kalitelerin nasıl etkilendiği değerlendirmektir. Materyal ve Metot: Çalışmaya 200 gebe ve 200 kontrol hastası dahil edilmiştir. Katılımcıların aydınlatılmış onamları alınmış ve sosyo demografik veri formu, Koronavirüs Anksiyetesi Ölçeği (CAS), Pittsburgh Uyku Kalitesi ölçeği (PSQI), Yaşam Kalitesi Ölçeğin Kısa Form-12 (SF-12) yaşam kalitesi ölçeği doldurmaları istenmiştir. Bulgular: Gebe ve sağlıklı kontroller arasında Koronavirüs Anksiyetesi Ölçeği puanları arasında istatistiksel olarak anlamlı fark bulunamamıştır (p=0,93). Gebe ve sağlıklı kontroller arasında uyku kalitesi açısından istatistiksel olarak anlamlı fark bulunmuştur (p=0,02). Gebelerde sağlıklı kontrollere göre Yaşam Kalitesi Ölçeğin Kısa Form-12 (SF-12) fiziksel puan alt ölçeği istatistiksel olarak anlamlı daha yüksek puan almışken, mental puan alt ölçeği istatistiksel olarak anlamlı düşük puan almıştır (sırasıyla: p<0,001; p=0,009). Koronavirüs anksiyetesi ile uyku kalitesindeki bozulma arasında istatistiksel olarak anlamlı pozitif yönde zayıf korelasyon bulunmuştur (r:0,222; p=0,002). Sonuç: Pandemi süreci gebelerdeki uyku kalitesini ve mental olarak yaşama kalitelerini oldukça kötü yönde etkilenmektedir. Klinisyenler bu süreçte gebelerin uyku kalitelerini değerlendirmeye özen göstermelidirler.