The efficacy and safety of modified anterior vaginal wall repair for anterior vaginal prolapse and cystocele in elderly women
10.3760/cma.j.issn.0254-9026.2018.04.022
- VernacularTitle:改良阴道前壁修补术在老年女性阴道前壁及膀胱膨出治疗中的应用
- Author:
Shuai HUANG
1
;
Min LI
;
Ye LI
;
Qiubo LYU
;
Dan ZHOU
;
Aiming LYU
;
Sichen ZHANG
;
Wenhui DENG
Author Information
1. 100730,北京医院国家老年医学中心妇产科
- Keywords:
Pelvic organ prolapse;
Vagina;
Cystocele
- From:
Chinese Journal of Geriatrics
2018;37(4):445-447
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the efficacy and safety of modified anterior vaginal wall repair in the treatment of anterior vaginal prolapse and cystocele in elderly women.Methods We retrospectively analyzed the clinical value of modified anterior vaginal wall repair in 58 elderly women with stage Ⅱ-Ⅳ anterior vaginal prolapse and cystocele,which were evaluated by pelvic organ prolapse quantitation (POP-Q) system.The modified anterior vaginal wall repair was based on the paravaginal repair as an add-on to a reverse bridge repair and cross stitching of bilateral sutures stemmed from vaginal repair.According to the condition of each patient,other pelvic floor repair,perineal laceration repair,and paraurethral fascia reinforcement might be performed at the same time.The curative effectiveness was subjectively and objectively evaluated in the postoperative follow-up.Results A total of 58 operations were successfully finished.The follow-up time was 6-24 months with an average of (14±8) months.The subjective cure rate was 100％ and the rate of objective cure defined as the top of the vagina above the level of ischial spine was 100％ at 3 months follow-up (n=58).The subjective and objective cure rate was 100％ and 96.6％ (56/58) at 6 months follow-up (n=58),100％ and 94.1％ (32/34) at 12 months follow-up (n=34),91.7％ (11/12) and 91.7％ (11/12) at 24 months follow-up (n=12),respectively.Conclusions The modified anterior vaginal wall repair is safe and effective for anterior vaginal prolapse and cystocele in elderly women.
