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Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). 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.
Original Research
The relevance of fascial surgical repair in the management of pelvic organ prolapse (POP)
F. Nobili1, A. Lukic1, I. Puccica1, M. Vitali1, M. Schimberni1, F. Manzara1, A. Frega1, *, B. Mossa1, M. Moscarini†1, †, D. Caserta1
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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