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| Effect of the modified and thetraditional vaginal hysterectomy for treating menopausal patients with moderate-to-severe uterine prolapse and their influence on the urodynamics and quality of life |
| 1.Qidong Maternal and Child Health Care Hospital, Nantong, Jiangsu Province, 226200；2.Chongming Hospital, Shanghai Medical College of Health Sciences, Shanghai |
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Abstract To compare the influence of the modified and the traditional vaginal hysterectomy for treating menopausal patients with moderate-to-severe uterine prolapse, and to study their influence on the urodynamics and quality of life of the patients. Methods: 85 menopausal patients with moderate-to-severe uterine prolapse in the hospital were selected and were divided into two groups according to the surgical methods from October 2020 to December 2023. 43 patients in observation group were given the modified vaginal hysterectomy, and 42 patients in control group were given the traditional vaginal hysterectomy. The clinical efficacy of the patients in the two groups was observed. The values of the urodynamic indexes and the pelvic floor function indexes of the patients before and after treatment were compared between the two groups. The safety and quality of life of the patients in two groups were evaluated. Results: The clinical efficacy of the patients in the observation group was 93.0%, which was significantly higher than that (71.4%) of the patients in the control group. The values of the maximum urethral closure pressure (34.12±1.58 cmH2O), the maximum urethral pressure (53.28±4.39 cmH2O) and the abdominal leak point pressure (84.98±3.15 cmH2O) of the patients in the observation group in 1 month after surgery were significantly higher than those (32.56±2.17 cmH2O, 50.37±5.31 cmH2O and 81.36±4.34cmH2O) of the patients in the control group. The improved effect of the pelvic floor dysfunction of the patients in the observation group in 1 month after surgery was significantly higher than that of the patients in the control group. The scores of the each dimension of short-form quality of life scale (SF-36) of the patients in the observation group in 3 months after surgery was significantly higher than that of the patients in the control group (all P<0.05). The incidence of the postoperative complications (4.6% vs. 7.1%) of the patients in the two groups had no significantly different between the two groups (P>0.05). Conclusion: Compared with that of the traditional vaginal hysterectomy, the modified vaginal hysterectomy for treating the menopausal patients with moderate-to-severe uterine prolapse has more effective, and the improvements of which for the urodynamic indexes and the quality of life of the patients are more obvious.
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