Pelvic dysfunction is a common problem worldwide that is underdiagnosed and has a significant impact on quality of life. Pelvic dysfunctions are quite common with age, and one in ten women undergoes urogynecological surgery closer to the age of 80. After surgical correction of the vagina and changes in the anatomy of the vagina, de novo pelvic dysfunctions may appear, which is perceived by patients as a complication and creates a negative attitude towards treatment.The purpose of this prospective cohort study is to assess the quality of life of patients with pelvic dysfunctions after surgery.

A prospective cohort study included 159 patients who were admitted for surgery for pelvic dysfunction. Before surgery, the patients completed a validated questionnaire to assess their quality of life (ICIQ – SF - International Conférence on Incontinence Questionnaire - Short Form). After surgical correction, the patients were invited for a follow-up visit after 3, 6, and 12 months to assess their quality of life by re-filling out the questionnaire.

According to the results of the study, there is a positive trend in the form of a statistically significant (p < 0.001) decrease in scores on the questionnaire after surgery. The improvements were statistically significant after 3 months and further after 6 and 12 months, which indicates that the effect of the operation remained.

According to our study, surgical interventions to correct pelvic dysfunction significantly improved the quality of life of patients. The effect of the surgical treatment was firmly established 3 months after the intervention, and persisted for 12 months.

Our results indicate that successful treatment of pelvic dysfunctions significantly improves the quality of life of patients. Surgical intervention, the main purpose of which is to correct pelvic dysfunctions, should not be performed at the expense of quality of life. Enhanced guidance can more effectively match the patient's objectives and aspirations with the actuality of the surgical procedure.