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| Impacts of laparoscopic sacral bone pexis for treating patients with moderate and severe uterine prolapse on their pelvic floor function and quality of life |
| Lujiang County People's Hospital, Hefei, Anhui Province, 231500 |
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Abstract To analyze the impacts of laparoscopic sacral bone pexis for treating patients with moderate and severe uterine prolapse on their pelvic floor function and quality of life. Methods: 120 elderly patients with moderate and severe uterine prolapse from August 2018 to June 2022 were collected in this study retrospectively. According to the different treatments, these patients were divided into two groups. 60 patients in group A were given laparoscopic sacral bone pexis, and 60 patients in group B were given transvaginal sacrospinous ligament suspension. The values of indexes related to operation, the values of each indicator point by pelvic organ prolapse quantification (POP-Q), the score of quality of life before and after operation, and the occurrence of postoperative complications of the patients were compared between the two groups. Results: The operative time, the exhaust time, the postoperative hospitalization days, and the intraoperative blood loss of the patients in group A were all significantly less than those of the patients in group B. In the 6th month after operation, the anterior vaginal wall, the vaginal apex, the perineal body length, and the posterior vaginal wall of the patients in both groups were significantly longer than those before operation, the length of genital tract hiatus and total vaginal length (TVL) of the patients in both groups were significantly shorter than those before operation, and the TVL of the patients in group A was significantly shorter than that of the patients in group B. In the 6th month after operation, the scores of pelvic floor distress inventory (PFDI-20) and pelvic floor disorders influence questionnaire (PFIQ-7) of the patients in both groups were significantly lower than those before operation, and the score of female sexual function index scale (FSFI) of the patients in both groups was significantly higher than that before operation, and all of which (11.32±3.16 points, 12.86±5.14 points, and 26.25±4.49 points) of the patients in group A were significantly better than those (16.28±3.45 points, 21.88±7.12 points, and 19.32±4.73 points) of the patients in group B. The total incidence (8.3%) of the postoperative complications, such as urinary retention, intestinal obstruction, infection, and intercourse pain of the patients in group A was significantly lower than that (26.7%) of the patients in group B (all P<0.05). Conclusion: Laparoscopic sacral bone pexis for treating patients with moderate and severe uterine prolapse can effectively improve their pelvic floor function recovery and their quality of life, and which can reduce the incidence of postoperative complications.
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