Alternative combined surgical treatment of severe pelvic organ prolapsed

Abstract

Objective: This study aimed to evaluate the rate of satisfactory outcomes of surgery on women with severe genital prolapse using fast-track surgery including an improved method of combined surgical treatment. Materials and methods: The study included 60 women with severe forms of pelvic organ prolapse. The average age of patients with POP-Q II was 56.4 (20 women from 52 to 63), those with POP-Q III-59.4 (40 patients from 54 to 68). Results: A new method of combination surgery for severe forms of pelvic organ prolapse using abdominal mesh and native tissues was developed. The following parameters were evaluated as objective criteria for effectiveness of treatment: duration of surgery, amount of blood loss, postoperative complications, time until and forms of pelvic organ prolapse recurrence: their number, variety, relapse stage, time of relapse. The average duration of surgery was 120 min. The average blood loss was 200 ml. There were 6 cases of early postoperative complications. The rate of relapses was 2%. An analysis of outcomes indicates high effectiveness of treatment and recovery of pelvic organ function. Thus, this method can be recommended for surgical treatment of combined forms of severe genital prolapse.