{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:27:27Z","timestamp":1787776047517,"version":"build-2784847793"},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>The prolapse quality-of-life (P-QOL) questionnaire is frequently used to assess changes in symptoms before and after surgery in patients with pelvic organ prolapse (POP). This study investigated whether P-QOL scores were significantly affected by pre- and postoperative conditions in patients with surgically treated POP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>The study enrolled 158 patients who underwent surgery for POP at our hospital between May 2016 and May 2023. Seventy-two patients underwent laparoscopic sacrocolpopexy (LSC), whereas 86 underwent transvaginal mesh (TVM) surgery. To evaluate the POP-related conditions, the 60-min pad test and the Japanese version of P-QOL were used before surgery and 6 and 12 months after surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      In patients with stage 4 POP, all P-QOL component scores, except for sleep\/energy, significantly declined after surgery in the LSC group. Conversely, some component scores did not show a significant difference after the surgery in the TVM group. No significant differences in the rate of urinary incontinence, mesh exposure, or prolapse recurrence (PR) were observed between the two groups; however, the rate of PR was much higher in the TVM group than in the LSC group, although no significant differences were found in patients with stage 4 POP. Accordingly, some P-QOL component scores were significantly higher in the TVM group than in the LSC group (all\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The surgical outcomes of POP have a significant effect on P-QOL. Postoperative conditions can be evaluated using P-QOL scores.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/gmit.gmit_74_24","type":"journal-article","created":{"date-parts":[[2025,7,19]],"date-time":"2025-07-19T15:00:15Z","timestamp":1752937215000},"page":"215-222","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Prolapse Quality-of-life Questionnaire is a Reliable Postoperative Outcome Assessment"],"prefix":"10.4103","volume":"14","author":[{"given":"Kenji","family":"Kuroda","sequence":"first","affiliation":[{"name":"Department of Urology, National Defense Medical College, Tokorozawa, Saitama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koetsu","family":"Hamamoto","sequence":"additional","affiliation":[{"name":"Department of Urology, National Defense Medical College, Tokorozawa, Saitama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuki","family":"Kawamura","sequence":"additional","affiliation":[{"name":"Department of Urology, National Defense Medical College, Tokorozawa, Saitama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayako","family":"Masunaga","sequence":"additional","affiliation":[{"name":"Department of Urology, National Defense Medical College, Tokorozawa, Saitama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akio","family":"Horiguchi","sequence":"additional","affiliation":[{"name":"Department of Urology, National Defense Medical College, Tokorozawa, Saitama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keiichi","family":"Ito","sequence":"additional","affiliation":[{"name":"Department of Urology, National Defense Medical College, Tokorozawa, Saitama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,7,19]]},"reference":[{"key":"R1-20250804","doi-asserted-by":"crossref","first-page":"996","DOI":"10.1590\/s1677-5538.ibju.2017.0692","article-title":"Perioperative complications and short-term outcomes of abdominal sacrocolpopexy, laparoscopic sacrocolpopexy, and laparoscopic pectopexy for apical prolapse","volume":"44","author":"Biler","year":"2018","journal-title":"Int Braz J Urol"},{"key":"R2-20250804","doi-asserted-by":"crossref","first-page":"1013","DOI":"10.1007\/s00192-009-0903-0","article-title":"Prediction model and prognostic index to estimate clinically relevant pelvic organ prolapse in a general female population","volume":"20","author":"Slieker-ten","year":"2009","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"key":"R3-20250804","doi-asserted-by":"crossref","first-page":"1183","DOI":"10.1007\/s00192-016-3244-9","article-title":"Role of concurrent vaginal hysterectomy in the outcomes of mesh-based vaginal pelvic organ prolapse surgery","volume":"28","author":"Forde","year":"2017","journal-title":"Int Urogynecol J"},{"key":"R4-20250804","doi-asserted-by":"crossref","first-page":"265.e1","DOI":"10.1016\/j.ajog.2018.11.1094","article-title":"Responsiveness and minimally important difference of SF-6D and EQ-5D utility scores for the treatment of pelvic organ prolapse","volume":"220","author":"Harvie","year":"2019","journal-title":"Am J Obstet Gynecol"},{"key":"R5-20250804","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1111\/iju.13587","article-title":"Tension-free vaginal mesh surgery versus laparoscopic sacrocolpopexy for pelvic organ prolapse: Analysis of perioperative outcomes using a Japanese national inpatient database","volume":"25","author":"Obinata","year":"2018","journal-title":"Int J Urol"},{"key":"R6-20250804","doi-asserted-by":"crossref","first-page":"915","DOI":"10.1111\/jog.13908","article-title":"Comparison between laparoscopic uterus\/sacrocolpopexy and total pelvic floor reconstruction with vaginal mesh for the treatment of pelvic organ prolapse","volume":"45","author":"Wei","year":"2019","journal-title":"J Obstet Gynaecol Res"},{"key":"R7-20250804","doi-asserted-by":"crossref","first-page":"552","DOI":"10.1016\/j.tjog.2014.07.006","article-title":"Acomparative study of laparoscopic sacrocolpopexy and total vaginal mesh procedure using lightweight polypropylene meshes for prolapse repair","volume":"53","author":"Liu","year":"2014","journal-title":"Taiwan J Obstet Gynecol"},{"key":"R8-20250804","doi-asserted-by":"crossref","first-page":"1082","DOI":"10.7150\/ijms.9027","article-title":"Laparoscopic reconstructive surgery is superior to vaginal reconstruction in the pelvic organ prolapse","volume":"11","author":"Park","year":"2014","journal-title":"Int J Med Sci"},{"key":"R9-20250804","doi-asserted-by":"crossref","first-page":"204","DOI":"10.4103\/GMIT.GMIT_32_19","article-title":"Effect of pelvic organ prolapse reconstructive mesh surgery on the quality of life of Turkish Patients: A prospective study","volume":"9","author":"Sukgen","year":"2020","journal-title":"Gynecol Minim Invasive Ther"},{"key":"R10-20250804","doi-asserted-by":"crossref","first-page":"133","DOI":"10.4111\/icu.2018.59.2.133","article-title":"Short-term outcomes of the transvaginal minimal mesh procedure for pelvic organ prolapse","volume":"59","author":"Takazawa","year":"2018","journal-title":"Investig Clin Urol"},{"key":"R11-20250804","doi-asserted-by":"crossref","first-page":"E432","DOI":"10.5489\/cuaj.5095","article-title":"Efficacy and patient satisfaction of pelvic organ prolapse reduction using transvaginal mesh: A Canadian perspective","volume":"12","author":"Aub\u00e9","year":"2018","journal-title":"Can Urol Assoc J"},{"key":"R12-20250804","doi-asserted-by":"crossref","first-page":"221","DOI":"10.4103\/GMIT.GMIT_127_20","article-title":"Comparison of surgical results and postoperative recurrence rates by laparoscopic sacrocolpopexy with other surgical procedures for managing pelvic organ prolapse","volume":"10","author":"Kotani","year":"2021","journal-title":"Gynecol Minim Invasive Ther"},{"key":"R13-20250804","doi-asserted-by":"crossref","first-page":"114","DOI":"10.4103\/GMIT.GMIT_1_20","article-title":"Measures for safe laparoscopic sacrocolpopexy: Preoperative contrast-enhanced computed tomography and perioperative ultrasonography","volume":"10","author":"Kotani","year":"2021","journal-title":"Gynecol Minim Invasive Ther"},{"key":"R14-20250804","doi-asserted-by":"crossref","first-page":"38","DOI":"10.4103\/gmit.gmit_59_22","article-title":"Medium-term risk of recurrent pelvic organ prolapse within 2-Year Follow-Up after laparoscopic sacrocolpopexy","volume":"12","author":"Sato","year":"2023","journal-title":"Gynecol Minim Invasive Ther"},{"key":"R15-20250804","first-page":"e53388","article-title":"Favorable postoperative outcomes after transvaginal mesh surgery using a Wide-Arm ORIHIME\u00aeMesh","volume":"16","author":"Kuroda","year":"2024","journal-title":"Cureus"},{"key":"R16-20250804","first-page":"e57106","article-title":"Efficacy of transvaginal surgery using an ORIHIME mesh with wider arms and adjusted length","volume":"16","author":"Kuroda","year":"2024","journal-title":"Cureus"},{"key":"R17-20250804","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1007\/s00192-004-1225-x","article-title":"P-QOL: A validated questionnaire to assess the symptoms and quality of life of women with urogenital prolapse","volume":"16","author":"Digesu","year":"2005","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"key":"R18-20250804","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1097\/00001703-199508000-00016","article-title":"Laparoscopic procedures for stress incontinence and prolapse","volume":"7","author":"Wattiez","year":"1995","journal-title":"Curr Opin Obstet Gynecol"},{"key":"R19-20250804","first-page":"327","article-title":"Validation of the Prolapse Quality-of-Life Questionnaire (P-QOL) in Japanese version in Japanese women","volume":"25","author":"Takeyama","year":"2014","journal-title":"J Jpn Continence Soc"},{"key":"R20-20250804","first-page":"531","article-title":"Assessment of quality of life in women with pelvic organ prolapse: Conditional translation and trial of P-QOL for use in Japan","volume":"99","author":"Fukumoto","year":"2008","journal-title":"Nihon Hinyokika Gakkai Zasshi"},{"key":"R21-20250804","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1097\/SLA.0b013e3181b13ca2","article-title":"The Clavien-Dindo classification of surgical complications: Five-year experience","volume":"250","author":"Clavien","year":"2009","journal-title":"Ann Surg"},{"key":"R22-20250804","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1016\/j.eururo.2004.08.014","article-title":"Laparoscopic sacral colpopexy approach for genito-urinary prolapse: Experience with 363 cases","volume":"47","author":"Rozet","year":"2005","journal-title":"Eur Urol"},{"key":"R23-20250804","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1111\/iju.14436","article-title":"Clinical outcomes after laparoscopic sacrocolpopexy for pelvic organ prolapse: A 3-year follow-up study","volume":"28","author":"Sawada","year":"2021","journal-title":"Int J Urol"},{"key":"R24-20250804","doi-asserted-by":"crossref","first-page":"96","DOI":"10.4103\/GMIT.GMIT_67_20","article-title":"Comparison of the quality of life and female sexual function following laparoscopic pectopexy and laparoscopic sacrohysteropexy in apical prolapse patients","volume":"10","author":"Obut","year":"2021","journal-title":"Gynecol Minim Invasive Ther"},{"key":"R25-20250804","doi-asserted-by":"crossref","first-page":"1989","DOI":"10.1007\/s00192-019-03920-1","article-title":"A systematic review of the psychometric properties of the cross-cultural adaptations and translations of the Prolapse Quality of Life (P-QoL) questionnaire","volume":"30","author":"Belayneh","year":"2019","journal-title":"Int Urogynecol J"},{"key":"R26-20250804","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1016\/S0895-4356(99)00206-1","article-title":"Methods for assessing responsiveness: A critical review and recommendations","volume":"53","author":"Husted","year":"2000","journal-title":"J Clin Epidemiol"},{"key":"R27-20250804","doi-asserted-by":"crossref","first-page":"1492","DOI":"10.1016\/j.ajog.2006.01.076","article-title":"Responsiveness of the Pelvic Floor Distress Inventory (PFDI) and Pelvic Floor Impact Questionnaire (PFIQ) in women undergoing vaginal surgery and pessary treatment for pelvic organ prolapse","volume":"194","author":"Barber","year":"2006","journal-title":"Am J Obstet Gynecol"},{"key":"R28-20250804","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1007\/s11934-013-0385-y","article-title":"Repair of pelvic organ prolapse: What is the goal?","volume":"15","author":"Aponte","year":"2014","journal-title":"Curr Urol Rep"}],"container-title":["Gynecology and Minimally Invasive Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/gmit.gmit_74_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:48:48Z","timestamp":1787773728000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/gmit.gmit_74_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":28,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/gmit.gmit_74_24","relation":{},"ISSN":["2213-3070","2213-3089"],"issn-type":[{"value":"2213-3070","type":"print"},{"value":"2213-3089","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7]]},"assertion":[{"value":"2024-06-17","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-01","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}