[Vaginal repair operation for anterior pelvic organ prolapse in elderly women].
Zhonghua yi xue za zhi(2010)
Abstract
OBJECTIVE:To identify the safety and efficacy of individualized vaginal surgery for anterior pelvic organ prolapse (POP) in elderly women so as to provide a clinical basis for studies on improving life quality by treatment in elderly women.
METHODS:The individuation group consisted of 90 patients with a diagnosis of anterior POP. All over 60 years old, they underwent individualized vaginal surgery. The safety and efficacy, POP quantitative examination POP-Q change, cure and recurrence rate and life quality scores on incontinence and pelvic floor distress and impact were assessed. The control group (n = 60) was composed of patients (> 60 yr old) with a diagnosis of anterior POP were performed with Kelly-Kennedy operation. Their safety, efficacy, cure and recurrence rates were compared.
RESULTS:Individualized vaginal surgery in elderly women was both safe and effective. The post-therapeutic recovery time was shorter (P < 0.05), the cure rate higher and the recurrence rate lower (P < 0.05) than that of control group. The life quality after individualized surgery improved (P < 0.01).
CONCLUSION:The individualized vaginal surgery is safe and effective for a correction of anterior POP in elderly women. The life quality improves after operation.
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Key words
gynecological operation,individuation,pelvic organ prolapse (pop),vagina
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