Comparative Analysis of Pelvic Floor Reconstruction and Trans-Vaginal Hysterectomy in the Treatment of Pelvic Floor Dysfunction

Abstract

Objective To analyze clinical effects between pelvic floor reconstruction and trans-vaginal hysterectomy in the treatment of pelvic floor dysfunction (PFD). Methods From January 2007 to October 2008, 105 cases of pelvic floor dysfunction were randomly divided into two groups, one group was treated with total pelvic floor reconstruction(group A), the other with trans-vaginal hysterectomy(group B). General information between two groups had no significant difference (P>0.05). Clinical observation of therapeutic effects was analyzed in two groups. The study protocol was approved by the Ethical Review Board of Investigation in Human Being of Changzhou NO.2 People's Hospital Affiliated Nanjing Medical University. Informed consent was obtained from all participants. Results Operating time, blood loss, postoperative exhaust time, catheter retention time, and hospitalization time in group A were less and shorter than those in group B (P 0.05). But as for stress urinary incontinence, the recurrence rate at second month, sixth month, and 1 year after operation in group A were lower than those of group B (P<0.05). The pelvic floor distress inventory (PFDI) score before the operation in two groups were higher than those after the operation. Conclusion Total pelvic floor reconstruction is more effective than trans-vaginal hysterectomy in the treatment of pelvic floor dysfunction. Key words: total pelvic floor reconstruction; trans-vaginal hysterectomy; pelvic floor dysfunction (PFD); stress urinary incontinence (SUI); pelvic organ prolapse (POP)