Journal of International Reproductive Health/Family Planning ›› 2014, Vol. 33 ›› Issue (1): 24-26.

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Study on the Short Efficacy of Surgical Operation,and the Urinary Control Situation in Patients with the Female Pelvic Organ Prolapse

ZHAO Lin,XIANG Mei,XIA Ting-ting,ZENG Ke-fei,XU Wei   

  1. Department of Obstetrics and Gynecology,The Second Hospital of Jilin University,Changchun 130041,China(ZHAO Lin,XIANG Mei,XU Wei);Maternity and Child Care Center of Qinhuangdao,Qinhuangdao 066000,Hebei Province,China(XIA Ting-ting,ZENG Ke-fei)
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-01-15 Online:2014-01-15
  • Contact: XU Wei

Abstract: Objective:To evaluate the clinical short efficacy of the Prolift pelvic reconstruction surgery,and the urinary control status,in patients with the female pelvic organ prolapse. Methods:This is a retrospective analysis of 213 patients with female pelvic floor dysfunction,and with the pelvic reconstruction surgery,from our hospital from January 2009 to December 2011. 213 cases were divided into 3 groups according to three different surgical methods:the Prolift method group with 77 cases,the modified method group with 65 cases (modified pelvic floor reconstruction operation),and the traditional method group with 71 cases(vaginal hysterectomy associated with vaginal wall repair operation). Those patients suffering from stress urinary incontinence were treated with anti-stress urinary incontinence treatment. After one year of follow-up visit,the pelvic organ prolapse recovery,the stress urinary incontinence correction,and the occurrence of occult urinary incontinence were compared in three groups. Results:In the same group,POSUI (stress urinary incontinence after operation) was independent on the urodynamic examination before operation. The difference of POSUI rates in three different groups was not significant. The effective rates of the TVT-O operation in three groups,as for treatment of stress urinary incontinence at same stages,were above 90%. The effective rates in three groups,as for treatment of the pelvic organ prolapse (POP),were significant different (P<0.05). The efficiency in the Prolift method group was better than those in other groups. Conclusions:It was suggested that the urodynamic examination before the operation has not prognosis effect on POSUI. The Prolift operation,the modified pelvic floor reconstruction,as well as the traditional operation,if combined with TVT-O operation,can achieve ideal effect in treatment of SUI. The curative effects of the Prolift and modified methods were better than that of the traditional method.

Key words: Pelvis, Prolapse, Urinary incontinence, stress, Surgical procedures, minimally invasive