Recurrence of Prolapse Following Vaginal Hysterectomy With and Without Vaginal Vault Fixation: A Retrospective Review
نویسندگان
چکیده
Background. The rate of prolapse recurrence after vaginal hysterectomy ranges from 6% to 12%. Vaginal vault fixation procedures like the iliococcygeus and cul-de-sac obliteration (McCall culdoplasty) have been used address loss apical support in patients with advanced-stage prevent this recurrence. Objectives. This study aims assess risk factors for as well urinary, bowel, sexual symptoms women who undergone without pelvic organ stage 2 or higher. Methods. is a retrospective that included greater underwent 2009 2014 seen at urogynecology clinic Philippine tertiary referral center. cohorts were divided into those iliococcygeal (n=171) (n=83). Z test mean difference was comparing average values between two groups. Chi-square independence proportion stratified by various variables their corresponding groups, while some adjusted 2x2 Fischer Exact test. Any associated p-value less than 0.05 alpha considered statistically significant. Results. Of 876 operated on 2014, 254 study. They Recurrence significantly lower group (23.39% vs 36.14%, p=0.037) median follow-up 28.98 months 31.08 without. posterior compartment higher (16.87% 6.43%, p=0.013). Longer duration menopause (16.96 ± 7.16 13.37 7.1, p=0.001), unemployment (52.85% 36.41%, p=0.22) longer time surgery (37.84 15.69 26.55 12.59, p=0.000) recurrence. Moreover, pre- (6.24 1.41 5.78 0.95, p=0.003) post-operative genital hiatus (4.53 0.97 4.23 0.54, p=0.002) shorter pre-operative perineal body (1.86 0.35 1.97 0.35, p=0.025) measurements also Both groups no significant bowel symptoms. Conclusion. Iliococcygeus an effective method preventing Increased menopause, surgery, hiatus, all contribute do not differ fixation. Thus performing prophylactic should be contemplated undergoing careful consideration patient potential morbidities.
منابع مشابه
Vaginal Vault Prolapse
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ژورنال
عنوان ژورنال: Acta medica Philippina
سال: 2021
ISSN: ['2094-9278', '0001-6071']
DOI: https://doi.org/10.47895/amp.vi0.1636