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Outcomes of traditional prolapse surgery for pelvic organ prolapse repair at a single center
Author(s) -
Fukuda Takeshi,
Sumi Toshiyuki,
Yasui Tomoyo,
Koyama Masayasu,
Ishiko Osamu
Publication year - 2012
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2012.06.021
Subject(s) - medicine , cystography , surgery , urinary incontinence , urinary system , quality of life (healthcare) , nursing
Objective To evaluate the clinical outcomes of traditional surgical approaches to pelvic organ prolapse. Methods From January 20, 2000, to March 24, 2009, 182 patients underwent traditional prolapse surgery at Osaka City University Graduate School of Medicine, Osaka, Japan, after prolapse assessment by the pelvic organ prolapse quantification system. Incontinence, defined as more than 2 g of urine leaked in a 1‐hour pad test; posterior urethrovesical angle, using chain cystography; and quality of life (QOL), using a face visual analog scale, were assessed 1, 3, 6, and 12 months postoperatively, and then annually for 2 more years, in the 167 patients who completed follow‐up. The presence of lower urinary tract symptoms was determined preoperatively and postoperatively. Results The anatomic and subjective recurrence rates were 21.0% and 6.0%. There was a significant difference in time to recurrence between anatomic and subjective prolapse. The posterior urethrovesical angle was improved postoperatively. The prevalence of lower urinary tract symptoms was 67.1% preoperatively and decreased to 28.2%, 17.2%, 16.2%, 15.6%, and 15.6% at 1 month, 6 months, 1 year, 2 years, and 3 years, respectively, and QOL was improved postoperatively regardless of anatomic recurrence. Conclusion Anatomic support and QOL were satisfactory after traditional prolapse surgery.