Evaluation on postoperative curative effect of pelvic organ prolapse in 98 cases

Abstract:

Objective：To analyze the postoperative curative effect on pelvic organ prolapse（POP） and the risk factors of postoperative recurrences and to assess the safety and effectiveness of traditional surgery and Prolift pelvic floor reconstruction. Methods：Retrospec－tive study and follow-up analysis were carried out in 98 patients with prolapsed pelvic organ who received the surgery at the first time from January 2008 to June 2009. The cure and recurrence were determined according to the follow-up results. Statistical analysis was conducted concerning the age，body mass index，maternal time，delivery mode，menopause condition，follow-up time，chronic diseases，indicators of the degree of preoperative uterine prolapse and the surgical approach between cure group and recurrence group. Results：The cure rate was 86.73%（85/98） and the recurrence rate was 13.27%（13/98）. There was no difference in the age，parity，chronic cough，constipation，prolapse of the uterus，body mass index，gravidity，follow-up time，delivery mode and the pre-menopause condi－tion between cure group and recurrence group. However，significant differences were observed in the operational approach between the traditional operation and Prolift pelvic floor reconstruction. Conclusions：Vaginal hysterectomy，anterior and posterior vaginal repair，perineal repair and other traditional surgery have higher recurrence rate. Prolift pelvic floor reconstruction can significantly reduce the recurrence rate，better repair the defects and restore the pelvic floor structures，therefore it is feasible and safe in light of the short-term efficacy.