MP18-20 EVALUATION OF QUALITY OF LIFE, VOIDING, AND SEXUAL DYSFUNCTION IN PATIENTS FOLLOWING ROBOT-ASSISTED VESICOVAGINAL FISTULA REPAIR

Abstract

You have accessJournal of UrologyCME1 May 2022MP18-20 EVALUATION OF QUALITY OF LIFE, VOIDING, AND SEXUAL DYSFUNCTION IN PATIENTS FOLLOWING ROBOT-ASSISTED VESICOVAGINAL FISTULA REPAIR Pawan Kaundal, Ravimohan Mavuduru, Girdhar Bora, and Shrawan K. Singh Pawan KaundalPawan Kaundal More articles by this author , Ravimohan MavuduruRavimohan Mavuduru More articles by this author , Girdhar BoraGirdhar Bora More articles by this author , and Shrawan K. SinghShrawan K. Singh More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002551.20AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Robot-assisted VVF repair has the advantage of minimal surrounding tissue trauma, small cystotomy, and precise dissection, leading to a better outcome. This study aims to evaluate the quality of life, voiding, and sexual dysfunction following robot-assisted VVF repair. METHODS: Women with successful RA-VVF repair from December 2014 to June 2020 were screened using Urinary distress inventory-6(UDI-6),Incontinence impact questionnaire-7(IIQ-7), Female sexual function index(FSFI), World Health Organization quality of life(WHOQOL-BREF) questionnaires in an ambispective cohort study at 3 months of repair.Those with recto-vaginal, malignant, radiation fistulae, failed robotic repair, non-consenting, undergoing open abdominal/vaginal VVF repair and incompletely filled questionnaire were excluded.Those with urinary dysfunction were subjected to urodynamic evaluation. Appropriate Statistical test were applied using SPSS version 23.0. RESULTS: 75 women underwemt RA-VVF repair. Of these 47 were enrolled(33 in retrospective and 14 in prospective cohort). Overall, 28 (60%) women had urinary complaints. The median UDI-6 score was 4 (0-100), IIQ score 0.00 (0-23). 5 (10%) women had affect on day-to-day activity and only one patient had moderate bother. However, UDS (15 women) showed normal cystometric capacity (352 ± 98.12) ml and compliance in 14 (93%) womenwith no detrusor overactivity. Mean BOOI and DCI were 11.90 ± 7.01 and 44.25 ± 8.60 respectively. 20 (43%) women were sexually active, only 2 had sexual dysfunction (FSFI score < 26.55). Quality of life was “good” to “very good” in all domains (score >90) except for the social domain (Table1). Prospective cohort showed significant improvement in UDI-6 score (p<0.05), IIQ-7 score (p<0.5) and quality of life (p<0.5) postoperatively. CONCLUSIONS: RA-VVF repair results in minimal voiding dysfunction and significant improvement in overall quality of life. For sexual dysfunction assessment, longer follow-up is required. Source of Funding: None © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e304 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Pawan Kaundal More articles by this author Ravimohan Mavuduru More articles by this author Girdhar Bora More articles by this author Shrawan K. Singh More articles by this author Expand All Advertisement PDF DownloadLoading ...