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| Clinical efficacy of vaginal pelvic floor reconstruction operation combined with middle urethral suspension with polypropylene mesh through obturator approach for treating women with uterine prolapsed and its influence on their pelvic floor function and urodynamics |
| The Third Affiliated Hospital of Chengdu Medical College, Pidu District People's Hospital of Chengdu, Chengdu, Sichuan Province, 611730 |
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Abstract To analyze the clinical efficacy of vaginal pelvic floor reconstruction operation combined with middle urethral suspension with polypropylene mesh through obturator approach (TVT-O) for treating women with uterine prolapsed, and to study its influence on their pelvic floor function and urodynamics. Methods: 133 women with uterine prolapse were selected and were divided into observation group and control group according to different surgery from January 2019 to January 2020. 69 women in the observation group were given vaginal pelvic floor reconstruction combined with TVT-O, and 64 women in the control group were given vaginal pelvic floor reconstruction combined posterior pubic urethral suspension (TVT). The clinical efficacy, the pelvic floor function, the urodynamics, and the rates of complications and recurrence of the women 6 months after treatment were compared between the two groups. Results: The total postoperative effective rate (92.8%) of the women in the observation group was significant higher than that (81.3%) of the women in the control group, but the recurrence rate (1.5%) of the women in the observation group was significant lower than that (9.4%) of the women in the control group. The pelvic floor functional score and urine dynamics indexes of the women in the two groups had decreased significantly after treatment. The PFIQ-7 score (38.5±11.3 points) and PFDI-20 score (28.6±9.3 points) of the women in the observation group were significant lower than those (59.7±11.36 points and 49.7±10.5 points) of the women in the control group. The values of PVR (3.39±0.70 ml) and Qmax (18.40±3.13 ml/s) of the women in the observation group were significant lower than those (3.87±0.73 ml and 21.58±3.27 ml/s) of the women in the control group. The incidence of total complications (5.8%) of the women in the observation group was significant lower than that (17.2%) of the women in the control group (P<0.05). Conclusion: Vaginal pelvic floor reconstruction operation combined with TVT-O for treating the women with uterine prolapse has better clinical effect, which can significantly improve their pelvic floor function and urodynamics, and has positive impact on the postoperative rehabilitation of the women.
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