Long-Term Outcomes of Pelvic Organ Prolapse by Laparoscopic Butterfly Suspension

Shunshuang Li

doi:10.11648/j.jgo.20180603.15

Abstract

Aim The study aimed to investigate the long clinic value of laparoscopic colpo-uterine butterfly suspension for pelvic organ prolapse. Methods Ninety -three patients who underwent the laparoscopic colpo-uterine butterfly suspension from December 2012 to May 2018 at the first affiliated hospital of zhengzhou university were analyzed in a retrospective study. Baseline characteristics and perioperative data were recorded. The POP quantification (POP-Q) system indicates the pre- and post-operative data. Respectively，the symptoms, health-related quality of life (HRQL) and Sexual function were evaluated by the Pelvic Floor Distress Inventory (PFDI-20), the Pelvic Floor Impact Questionnaire (PFIQ-7) and the Pelvic organ prolapse urinary Incontinence Sexual Questionnaire (PISQ-12). Results In 5 years’ follow-up, the objective cure ratio reached 97.8%, and the subjective success rate of the laparoscopic colpo-uterine butterfly suspension was 93.5%. Two cases was identified as clinical relapse. There was only one abdominal erosion during the long-term follow-up. The quality of life had improved significantly without any genital symptoms. No patients abstained from sex due to the operation or postoperative sexual discomfort. Conclusions The laparoscopic colpo-uterine butterfly suspension is a safe, feasible and highly effective technique that offers a good long-term results for the treatment of pelvic organ prolapse, also a good option for sexually active women.

Highlights

Pelvic organ prolapse (POP) is a condition commonly affecting millions of parous women
This study evaluated the feasibility of the Laparoscopic butterfly suspension and reported the long-term outcomes
PFDI-20, PFIQ-7 and PISQ-12 were used to evaluate the severity of symptoms, the impact of these symptoms on health-related quality of life (HRQL) and Sexuality respectively, all specific and validated in China [10,11] All patients were re-examined at 1 month, 3 months, 6 months, and once a year after surgery

Summary

Introduction

Pelvic organ prolapse (POP) is a condition commonly affecting millions of parous women. Up to half of all parous women have some degree of clinical prolapse, and 10–20% are symptomatic. [3] More and more women who having complications using pessulum are likely to choose surgical treatment. [4] The data indicates that the lifetime risk of undergoing POP surgery alone varies from 5 to 19%. [5] There is a growing need for high-quality and cost-effective treatment options for POP. Mesh has been widely used and effective treatment for pelvic organ prolapse. The surgical complications of mesh include mesh exposure, mesh-associated infections and mesh-stimulated tissue reactions, etc. To improve the efficacy and minimize the surgical complications of mesh, our team proposed a modified mesh laparoscopic technique for POP. This study evaluated the feasibility of the Laparoscopic butterfly suspension and reported the long-term outcomes

Methods

Results

Conclusion