Modified Prolift procedure without trachelectomy or hysterectomy for the treatment of advanced pelvic organ prolapse complicated with cervical elongation
10.3760/cma.j.issn.0529-567x.2016.03.003
- VernacularTitle:改良Prolift盆底重建术在治疗合并子宫颈延长的重度盆腔器官脱垂患者中的应用
- Author:
Baoheng LI
;
Huijuan HUANG
;
Yanfeng SONG
- Publication Type:Journal Article
- Keywords:
Pelvic organ prolapse;
Pelvic floor;
Gynecologic surgical procedures;
Reconstructive surgical procedures;
Surgical mesh;
Hysterectomy;
Cervical elongation
- From:
Chinese Journal of Obstetrics and Gynecology
2016;51(3):174-179
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect and safety of a modified Prolift procedure, without preceding partial trachelectomy or hysterectomy for pelvic organ prolapse (POP) with coexistent cervical elongation. Methods Clinical data of 72 patients that underwent a modified Prolift procedure for POP with coexistent cervical elongation, between December 2008 and June 2012 in Fuzhou General Hospital of Nanjing Military Command was retrospectively analysed. A comparison was carried out between preoperative and postoperative parameters of pelvic organ prolapse quantitation system (POP-Q), and an objective evaluation was made according to the overall cure rate and recurrence rate. Pelvic floor distress inventory-short form 20 (PFDI-20) was used to investigate the subjective cure rate and improvement of symptoms. Results Patients were followed up at median 52 months (36-78 months). One bladder perforation and one rectum perforation occurred during the procedure. Four patients (6%, 4/72) had uterine prolapse at 9-19 months after the opertaion and had transvaginal hysterectomy laterly. The overall anatomical correction rate was 94%(68/72). Six patients (8%, 6/72) had mesh exposures at 3-9 months after the opertaion. Scores of PFDI-20 decreased sifnificantly after the procedure (118.2±25.2 vs 12.1±8.0 vs 12.5±9.5 vs 13.0±9.9, P<0.05). The patients′ satisfaction rate was 92% (66/72). Conclusion This modified Prolift procedure, without preceding partial trachelectomy or hysterectomy, could effectively and safely correct POP with coexistent cervical elongation.
