Short-term therapeutic effect of modified total pelvic floor reconstruction in treatment of severe pelvic organ prolapse
10.3760/cma.j.issn.0529-567x.2010.03.005
- VernacularTitle:改良全盆底重建术治疗重度盆腔器官脱垂的近期疗效
- Author:
Chang REN
;
Lan ZHU
;
Jinghe LANG
;
Wenyan WANG
;
Lin LI
- Publication Type:Journal Article
- Keywords:
Uterine prolapse;
Pelvic floor;
Gynecologic surgical procedures
- From:
Chinese Journal of Obstetrics and Gynecology
2010;45(3):179-183
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate short-term clinical effects of modified total pelvic floor reconstruction surgery in treatment of severe pelvic organ prolapse.Methods Thirty-nine cases with severe pelvic organ prolapse including vault prolapse diagnosed by pelvic organ prolapse quantification (POP-Q) system received modified total pelvic floor reconstruction surgery.Clinical parameters associated peri-operative period and 12 months after surgery and complications were analyzed Results Median operation time was 70 minutes (30-240 minutes),median blood loss was 100 ml (10-200 ml).Seventy-seven percent (30/39) patients were able to micturate spontaneously in the next morning after surgery with postvoid residual volume less than 100 ml (0-650 ml).No severe intra-operative complications were recorded and the rate of postoperative morbidity was 20% (8/39 ).Median post-operative hospital stay was 4 days (1-11 days).The patients were followed up at median 24 months(13-29 months).According to POP-Q system evaluation,the successful rate of operation reached 100% .Two cases (5%,2/39) were recorded as symptomatic recurrence which manifested as posterior wall prolapse within 24 months after operation.During follow-up,8% (3/39) patients were found to have erosion within 7 months after surgery,and urgent urinary incontinence was observed in 5% (2/39) cases,while constipation occurred in 8% (3/39) cases.The most remarkable complication was dyspareunia (36%,5/14); while 50% (7/14) experienced better sexual life after surgery.Conclusions Modified total pelvic reconstruction is a safe,efficient and micro-invasive surgery in treatment of severe pelvic organ prolapse.However,its influence on post-operative sexual life should be concerned.
