IMR Press / CEOG / Volume 44 / Issue 5 / DOI: 10.12891/ceog4001.2017

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 46 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Original Research
The relevance of fascial surgical repair in the management of pelvic organ prolapse (POP)
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1 Surgical and Medical Department of Translational Medicine, Sant’Andrea Hospital, Faculty of Medicine and Psychology, University of Rome “la Sapienza”, Rome, Italy
† Contributed equally.
Clin. Exp. Obstet. Gynecol. 2017, 44(5), 744–748; https://doi.org/10.12891/ceog4001.2017
Published: 10 October 2017
Abstract

Purpose: To evaluate the anatomical and functional outcomes and post-operative compliance of fascial surgical repair in the management of pelvic organ prolapse (POP). Materials and Methods: The authors analyzed 147 patients before and after surgical treatment for POP analyzing pre- and post-operative symptoms. Patients were divided into two groups: group A patients who underwent vaginal hysterectomy, associated with anterior, posterior, and/or both vaginal repair; group B that underwent only anterior and/or posterior surgical vaginal correction. Results: The average time of post-operative hospitalization was significantly longer in group A than in group B (p = 0.019). However group A showed a better outcome in terms of days after surgery regarding post voiding residual <100 cc (p = 0.039). During follow-up, urinary incontinence improved (p= 0.001), whereas pelvic pressure, regular bowel function, and improvement in sexual activity were not significant (p > 0.05). Conclusions: Currently we do not have a surgical procedure which can be considered the best for treating prolapse, so it seems that the best option is a personalized surgery tailored for each patient.
Keywords
Pelvic organ prolapse
Urinary incontinence
POP surgery
POP-Q
Quality of life
Mesh
Hysterectomy
Sexual function
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