Improved health-related quality of life in the first year after laparoscopic niche resection: a prospective cohort study

Abstract Objective To evaluate changes in health-related quality of life (HRQOL) the first year after laparoscopic niche resection. Study design Prospective cohort study in women with a large niche (residual myometrium thickness Results 146 participants responded to the SF-36 at baseline, of which 129 (88.4 %) responded at three or twelve months follow-up. After three months, median PCS and MCS improved, compared to baseline (p = 0.014 and p = 0.008, respectively). Subdomains physical functioning, bodily pain, general health, vitality, mental health and social functioning improved significantly. At twelve months follow-up, improvement in PCS and MCS did not reach statistical significance (p = 0.053 and p = 0.063, respectively). Subdomains bodily pain (77.6–89.8, p  Conclusion Laparoscopic niche resection improves HRQOL in women with a large niche in physical and mental domains three and twelve months postoperatively.