ObjectiveThis study aims to explore the effect of new-style anterior and posterior vaginal wall repair combined with modified ischial spine fascia fixation on patients with pelvic organ prolapse (POP) and their postoperative quality of life.MethodsA total of 88 patients with POP and elective surgery admitted to Anqing Hospital affiliated to Anhui Medical University from March 2018 to March 2021 were retrospectively analyzed. According to their surgical methods, patients were divided into an observation group [44 cases, all underwent new-style anterior and posterior vaginal wall repair combined with modified ischial spine fascia fixation (new-style APVR-modified ISFF)] and a control group [44 cases, all underwent traditional anterior and posterior vaginal wall repair combined with sacrospinous ligament fixation (traditional APVR- SLF)]. The perioperative indicators were compared between the two groups. The pelvic floor function, pelvic organ prolapse quantification (POP-Q) classification, and quality of life were observed before operation, 3 months after operation, and 6 months after operation. All patients were followed-up.ResultsCompared with the control group, the observation group had more advantages in intraoperative blood loss, operation time, urinary catheter indwelling time, postoperative anal exhaust time, and hospitalization time (P < 0.05). In terms of pelvic floor function, patients of both groups showed significant improvement at 3 months and 6 months after surgery (P < 0.05). In terms of quality of life, the two groups exhibited significant improvement at 6 months after surgery (P < 0.05). PFIQ-7, PFDI-20, and UDI-6P of the observational group were lower than those of the control group, while PISQ-12 was higher than that of the control group but all with no significant difference (P > 0.005). In addition, the total complication rate of the observation group was 2.27% (1/44), which was significantly lower than 22.73% (10/44) of the control group (P < 0.05).ConclusionNew-style APVR-modified ISFF can effectively treat POP and improve the quality of life of such patients, with less postoperative complications and high safety.
Objective The aim in this study was to evaluate the efficacy of mesh bilaterally sacrospinous ligament suspension (MSSLS), as compared with laparoscopic sacrocolpopexy (LSC) in patients with uterine prolapse.Methods Our study evaluated 98 patients with uterine prolapse in our hospital from January 2021 to January 2023. Patients enrolled were equally divided into the study group (treated with MSSLS operation) and the control group (treated with LSC operation) by random number table. The operation conditions (including operation time, bleeding volume, indwelling catheter time, exhaust time, and hospital stay), stage of pelvic organ prolapse, postoperative recurrence rate, pain degree, quality of life, postoperative pelvic floor function, impact of sexual life, complications and recurrence rate were recorded.Results The study group demonstrated a marked reduction in the operation time, bleeding volume, indwelling catheter time, exhaust time and hospital stay when comparing with the control group (P < 0.05). Before operation, no significant difference was observed in Aa, Ba, Ap, Bp and C between the two groups (P > 0.05), while six months after operation, the five indexes in the study group were significantly lower than those in the control group (P < 0.05). The pain degree showed no significant difference between the two groups before operation (P > 0.05), while was evidently lower in the study group than control group 6 months after operation (P < 0.05). In terms of quality of life, pelvic floor function, and quality of sexual life, no significant difference was found before, 6 months and 12 months after operation (P > 0.05). All patients were followed up for 12–14 months, with an average follow-up time of (13.02 ± 1.36) months. The incidence of complications in the study group was significantly lower than the control group (P < 0.05). However, there was no recurrence in both groups, hence the difference was not statistically significant (P > 0.05).Conclusion MSSLS is a safe and effective treatment for uterine prolapse that significantly avoided complications and recurrence, which is believed available for wide application in clinical practice.
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