Effect analysis of transvaginal iliococcygeal fixation combined with traditional surgery in treatment of pelvic organ prolapse

Abstract

Objective To analyze the value of transvaginal iliococcygeal fixation combined with transvaginal hysterectomy, anterior and posterior colporrhaphy in treatment of pelvic organ prolapse (POP). Methods From January 2014 to December 2015, 98 patients with POP in Longchuan County People′s Hospital and the Sixth People′s Hospital of Foshan Nanhai District were chosen as study subjects. According to the surgical method, all patients were divided into study group (n=48, received transvaginal iliococcygeal fixation + transvaginal hysterectomy + anterior and posterior colporrhaphy treatment) and control group (n=50, received transvaginal hysterectomy+ anterior and posterior colporrhaphy treatment). The clinical baseline data, surgery duration, transoperative bleeding volume, the recovery time of gastrointestinal function, hospitalization, treatment cost, cure rate, adverse reaction rate, infection rate, unhealing rate of wound and recurrence rate were compared between two groups by statistical methods. Results ①There were no significant differences between two groups in age, body mass index, parity, menopause time, pelvic organ prolapse quantitation (POP-Q) and complications constituent ratio (P>0.05). ②There were no significant differences between two groups in transoperative bleeding volume and surgery duration (P>0.05). While the recovery time of gastrointestinal function of study group was (8.5±2.7) h, which was shorter than (10.6±3.2) h of control group, and the difference was statistically significant (t=3.504, P=0.035). ③The hospitalization of study group was (8.4±1.2) d, which was shorter than (10.5±1.7) d of control group, and the difference was statistically significant (t=7.038, P 0.05). There were no significant differences between two groups in the infection rate, unhealing rate of wound and the recurrence rate at the time of return visit (P>0.05). Conclusions The effect and safety of transvaginal iliococcygeal fixation combined with transvaginal hysterectomy, anterior and posterior colporrhaphy in treatment of POP are reliable, and its cost is relatively lower. Key words: Pelvic organ prolapse; Treatment outcome; Transvaginal iliococcygeal fixation; Primary hospitals