Outcomes of a novel modified total colpocleisis for advanced pelvic organ prolapse in elderly women and its efficacy on lower urinary tract symptoms

被引:2
|
作者
Wang, Qi [1 ]
Lin, Hongbiao [1 ]
Wu, Nengxiu [1 ]
Li, Ying [1 ]
Zhao, Rong [1 ]
Xu, Ying [1 ]
Lin, Chaoqin [1 ]
机构
[1] Fujian Matern & Child Hlth Hosp, Fujian Prov Key Lab Women & Childrens Crit Dis Res, Dept Gynecol, Fujian Prov Key Clin Specialty Gynecol, 18 Dao Shan St, Fuzhou 350000, Peoples R China
关键词
colpocleisis; lower urinary tract symptoms; paravaginal defect; patient satisfaction; pelvic organ prolapse; urinary incontinence; vaginal hysterectomy; LEFORT COLPOCLEISIS; SATISFACTION; RECURRENCE; SURGERY; REGRET;
D O I
10.1002/ijgo.15161
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objectives: To evaluate the effectiveness of modified total colpocleisis for advanced pelvic organ prolapse (POP) in elderly women and to assess the improvement in lower urinary tract symptoms (LUTS) of the patients.Methods: An observational cohort study was conducted, including 105 POP patients who underwent modified total colpocleisis between April 2020 and December 2022. The study analyzed the patients' demographic characteristics, perioperative outcomes, and follow-up outcomes, including complications, remission of LUTS, satisfaction rates, and regret rates. Confirming the safety, durability, and patient satisfaction of modified total colpocleisis.Results: Most patients (95/105, 90.5%) had more than one comorbidity. Eighty- six (81.9%) had a concomitant hysterectomy, the average operative time was 112.78 +/- 34.92 min, with a median estimated bleeding of 50 mL (10-300 mL). Perioperative changes in hemoglobin and hematocrit were 11.64 +/- 10.03 g/L and 3.87% +/- 3.05%, respectively. Urinary retention was the most common complication (10/105, 9.5%). With a median follow up of 16 months (3-35 months), 101 patients (96.2%) reported satisfaction with the results of the procedure, with none reporting regret. Both subjective and anatomical recurrence rates were quite low (2.9% and 5.7%, respectively). Twenty-three (21.9%) had de novo urinary incontinence, and the remaining LUTS such as frequent, urgent, hesitation, and difficulty emptying were significantly improved (P< 0.05).Conclusion: Modified total colpocleisis is an effective treatment option for elderly women with severe POP. This procedure can significantly improve several LUTS, and most de novo incontinence is mild and has a limited impact on patients' quality of life.
引用
收藏
页码:1132 / 1140
页数:9
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