Study on ischiospinous ligament fixation in treatment of stage Ⅲ pelvic organ prolapse
10.3760/cma.j.issn.0529-567x.2012.07.004
- VernacularTitle:坐骨棘筋膜固定缝合术治疗Ⅲ度盆腔器官脱垂的疗效评价
- Author:
Juan CHEN
;
Lan ZHU
;
Jinghe LANG
;
Honghui SHI
;
Zhijing SUN
;
Xiaoming GONG
- Publication Type:Journal Article
- Keywords:
Gynecologic surgical procedures;
Treatment outcome;
Pelvic organ prolapse
- From:
Chinese Journal of Obstetrics and Gynecology
2012;47(7):492-495
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety and efficacy of ischiospinous ligament fixation in treatment of stage Ⅲ pelvic organ prolapse (POP).Methods Between March 2007 and December 2009,65 patients with stage Ⅲ POP who underwent ischiospinous ligament fixation in Peking Union Medical College Hospital were enrolled in this study.Among 21 cases complicated with stress urinary incontinence (SUI) underwent transobturator tension-free vaginal tape (TVT-O) concomitantly.Clinical parameter associated with perioperation,objective and subjective successful rate and complication were recorded.Results The mean operating time was (71 ±22) min and the mean blood loss was (93 ±40) ml.No intraoperative blood transfusion and viscera injury cases were observed.All patients were able to recover spontaneous micturition.Two cases experienced pelvic hematoma with diameter of 7 cm,after conservative treatment,they all recovered later.The objective success rate was 100％ at 6 weeks follow-up by POP-Q scoring.And 46.2％ (30/65) were followed up at range of 1 -3 years,recurrence rate were 10％ (3/30),and however,no operation were needed.At median of 20 months,all patients were followed up by telephone,the subjective successful rate was 95.4％ (62/65).At 6 weeks after operation,6.2％ (4/65) patients suffered from lower back pain and right thigh pain,visual analogue scale of pain was at range of 3 to 5,which relieved gradually after treatment and disappeared totally within 2 years.The rate of suture exposure was 10％ (3/30),the new urinary incontinence 4.6％ (3/65),and the new dyspareunia 12.5％ (3/24).Conclusions Ischiospinous ligament fixation is a safe and efficacious management.
