Anatomic and Functional Outcomes with the Pro lift Procedure in Elderly Women with Advanced Pelvic Organ Prolapse Who Desire Uterine Preservation

作者：Cho Moon Kyoung; Kim Chul Hong^*; Kang Woo Dae; Kim Jong Woon; Kim Seok Mo; Kim Yoon Ha

来源：Journal of Minimally Invasive Gynecology, 2012, 19(3): 307-312.

DOI：10.1016/j.jmig.2011.12.014

• Elderly women
• Outcomes
• Pelvic organ prolapse
• Prolift
• Uterine preservation

Study Objective: To assess the clinical outcomes of total mesh repair with the Prolift technique as treatment of advanced pelvic organ prolapse in elderly patients who desire uterine preservation. %26lt;br%26gt;Design: Case control series study (Canadian Task Force classification II-2). %26lt;br%26gt;Setting: Medical school affiliated hospital. %26lt;br%26gt;Patients: Sixty-eight patients over the age of 70 years with advanced pelvic organ prolapse, Pelvic Organ Prolapse Quantification stage HI (n = 59) or IV (n = 9), underwent a total Prolift procedure and were followed up for a minimum of 2 years. %26lt;br%26gt;Interventions: Transvaginal pelvic floor repairs were performed with a total Prolift system. The concurrent pelvic surgery included midurethral sling operation with a TVT-O, if indicated. The assessment included intraoperative and postoperative complications, Urogenital Distress Inventory scores, and Incontinence Impact Questionnaire scores. %26lt;br%26gt;Measurements and Main Results: Objective and subjective data were available for 68 patients. The anatomic success rate was 97.1% after 2 years. Complications included bladder perforation in 1 patient (1.5%), de novo stress urinary incontinence in 20 patients (29.4%), dyspareunia in 4 patients (22.2%), and vaginal erosion in 1 patient (1.5%). The Pelvic Organ Prolapse Quantification stages, Urogenital Distress Inventory scores, and Incontinence Impact Questionnaire scores all improved significantly after surgery. %26lt;br%26gt;Conclusions: The total Prolift procedure is an alternative surgical option that uses a minimally invasive transvaginal approach to surgically treat elderly patients with advanced pelvic organ prolapse.

• 出版日期2012-6