Improved Pelvic Floor Reconstruction and Vaginal Paravaginal Repair Plus Vaginal Bridge Repair in the Treatment of Female Pelvic Organ Prolapse

Abstract

Objective To investigate clinical results of improved pelvic floor reconstruction and vaginal paravaginal repair plus vaginal bridge repair in the treatment of female pelvic organ prolapse (POP). Methods From January 2009 to December 2010, a total of 50 women with POP were included into this study. They were divided into two groups randomly according to different operation methods, study group (n=25) received improved pelvic floor reconstruction and control group (n=25) received vaginal paravaginal repair plus vaginal bridge repair. Informed consent was obtained from all participates. There had no significant difference between two groups among ages, body mass index (BMI), parities, length of vagina and POP quantitative examination(POP-Q)(P>0.05). Results ① No significant difference was found of average operation time between two groups (P>0.05). ② The blood bleeding volume during operation in study group was slightly more than that in control group with no significant difference (P>0.05). ③ The average length of stay in study group was significantly shorter than that in control group (P<0.01). ④ Vaginal length after the operation was significantly shorter than that before operation in control group, but no difference was found in study group before and after the operation. There had significant difference of vaginal length between study and control group (P<0.05). ⑤ No recurrence was found in study group in follow-up, there had two cases in control group. ⑥ The study group had less impact on postoperative sexual life than that of control group (P<0.001). Conclusion The improved pelvic floor reconstruction is an effective surgical method in the treatment of female POP, which can strengthen the pelvic organ. Key words: pelvic organ prolapse; improved pelvic floor reconstruction; mesh