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KMID : 0358420110540080454
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Korean Journal of Obstetrics and Gynecology
2011 Volume.54 No. 8 p.454 ~ p.458
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Efficacy and safety of uterosacral ligament vaginal vault suspension and levator myorrhaphy for pelvic organ prolapse
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Park Han-Young
Yoo Eun-Hee
Lee Seon-Kyung
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Abstract
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Objective: To evaluate the efficacy in the anatomical and functional outcome and the safety of uterosacral vaginal vault suspension and levator myorrhaphy surgery performed during vaginal hysterectomy for pelvic organ prolapse.
Methods: A retrospective analysis was performed on the medical records of twenty-eight patients who underwent uterosacral vaginal vault suspension and levator myorrhaphy with the vaginal hysterectomy for pelvic organ prolapse. Anatomical outcomes based on pelvic organ prolapse quantification (POP-Q) system and urinary, bowel and sexual symptoms from Korean version of short form of pelvic floor distress inventory and pelvic organ prolapse and incontinence sexual questionnaire were assessed pre- and postoperatively. They were followed up for minimum a year. The recurrence was defined as any points of POP-Q system to be stage II or greater.
Results: A significant improvement of prolapse was observed from preoperative stage of III to postoperative stage of 0. The points of Ba, C, Bp were changed from 3.7 ± 1.5, 2.5 ± 1.2, -0.1 ± 2.5 to -2.7 ± 0.4, -6.2 ± 0.9, -2.1 ± 2.3. Intra-operative complications were 2 cases of ureter injury while stitching from uterosacral vaginal vault suspension surgery. Post-operative complications were 2 cases of urinary tract infection, 3 cases of voiding dysfunction and a case of urinary incontinence. No patient required reoperation for recurrent prolapse and urinary incontinence.
Conclusion: Based on our operational result, uterosacral vaginal vault suspension and levator myorrhaphy surgery seem to provide safe and effective outcomes.
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KEYWORD
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Pelvic organ prolapsed, Reconstructive surgical procedures, Vagina.
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