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The effectiveness of two different laparoscopic surgeries for apical support of pelvic organ prolapse.
Eur J Obstet Gynecol Reprod Biol. 2015 May; 188:74-8.EJ

Abstract

OBJECTIVE

To evaluate the efficacy of laparoscopic colpo-uterine butterfly suspension and compare it to laparoscopic sacrocervicopexy for apical support in sexually active patients of pelvic organ prolapse.

STUDY DESIGN

Twenty-there women with symptomatic prolapse of apical prolapse underwent laparoscopic colpo-uterine butterfly suspension and forty-five underwent laparoscopic sacrocervicopexy at the first affiliated of Zhengzhou University between January 2010 and June 2013. They all presented with at least a stage 2 apical prolapse. Pre- and post-operative data referring to pelvic organ prolapse quantification (POP-Q) system were compared. At the same time, validated questionnaire of the Pelvic Floor Distress Inventory (PFDI-20), the Pelvic Floor Impact Questionnaire (PFIQ-7) and the Pelvic organ prolapse urinary Incontinence Sexual Questionnaire (PISQ-12) were included.

RESULTS

From 2010 to 2013, 68 patients were included. Only 3 cases lost the follow-up in the Laparoscopic sacrocervicopexy. In the laparoscopic colpo-uterine butterfly suspension, there was no recurrence versus in five the laparoscopic sacrocervicopexy. When considered the operating time and blood loss, the laparoscopic colpo-uterine butterfly suspension was more favorable. Erosion was higher in the laparoscopic sacrocervicopexy compared to the other group (0% vs 21.4%). There was no difference in the postoperative PFDI-20 score (P=0.3079), and PFIQ-7 score (P=0.8889) between the two groups, while the PISQ-12 score was much higher in the laparoscopic colpo-uterine butterfly suspension than the other group (P=0.0076).

CONCLUSION

Laparoscopic colpo-uterine butterfly suspension is a more effective option for sexually active women with pelvic organ prolapse.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

Li S
Department of Obstetrics and Gynecology, The First Affiliated Hospital of Zhengzhou University, Number 1. East Street of Jian She, Zhengzhou 450052, China. Electronic address: lishunshuang@163.com.
Ji M
Department of Obstetrics and Gynecology, The First Affiliated Hospital of Zhengzhou University, Number 1. East Street of Jian She, Zhengzhou 450052, China. Electronic address: jimeilss@163.com.
Zhao Z
Department of Obstetrics and Gynecology, The First Affiliated Hospital of Zhengzhou University, Number 1. East Street of Jian She, Zhengzhou 450052, China. Electronic address: jimeilss@163.com.

MeSH

AdultCervix UteriFemaleGynecologic Surgical ProceduresHumansLaparoscopyMiddle AgedPelvic Organ ProlapseRecurrenceSacrumSeverity of Illness IndexSexualitySurgical MeshSurveys and QuestionnairesVagina

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

25801721

Citation

Li, Shunshuang, et al. "The Effectiveness of Two Different Laparoscopic Surgeries for Apical Support of Pelvic Organ Prolapse." European Journal of Obstetrics, Gynecology, and Reproductive Biology, vol. 188, 2015, pp. 74-8.
Li S, Ji M, Zhao Z. The effectiveness of two different laparoscopic surgeries for apical support of pelvic organ prolapse. Eur J Obstet Gynecol Reprod Biol. 2015;188:74-8.
Li, S., Ji, M., & Zhao, Z. (2015). The effectiveness of two different laparoscopic surgeries for apical support of pelvic organ prolapse. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 188, 74-8. https://doi.org/10.1016/j.ejogrb.2015.03.007
Li S, Ji M, Zhao Z. The Effectiveness of Two Different Laparoscopic Surgeries for Apical Support of Pelvic Organ Prolapse. Eur J Obstet Gynecol Reprod Biol. 2015;188:74-8. PubMed PMID: 25801721.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The effectiveness of two different laparoscopic surgeries for apical support of pelvic organ prolapse. AU - Li,Shunshuang, AU - Ji,Mei, AU - Zhao,Zhao, Y1 - 2015/03/10/ PY - 2014/10/07/received PY - 2014/12/22/revised PY - 2015/03/02/accepted PY - 2015/3/25/entrez PY - 2015/3/25/pubmed PY - 2016/2/24/medline KW - Colpo-uterine butterfly suspension KW - Laparoscopy KW - POP-Q KW - Pelvic organ prolapse KW - Sacrocervicopexy SP - 74 EP - 8 JF - European journal of obstetrics, gynecology, and reproductive biology JO - Eur J Obstet Gynecol Reprod Biol VL - 188 N2 - OBJECTIVE: To evaluate the efficacy of laparoscopic colpo-uterine butterfly suspension and compare it to laparoscopic sacrocervicopexy for apical support in sexually active patients of pelvic organ prolapse. STUDY DESIGN: Twenty-there women with symptomatic prolapse of apical prolapse underwent laparoscopic colpo-uterine butterfly suspension and forty-five underwent laparoscopic sacrocervicopexy at the first affiliated of Zhengzhou University between January 2010 and June 2013. They all presented with at least a stage 2 apical prolapse. Pre- and post-operative data referring to pelvic organ prolapse quantification (POP-Q) system were compared. At the same time, validated questionnaire of the Pelvic Floor Distress Inventory (PFDI-20), the Pelvic Floor Impact Questionnaire (PFIQ-7) and the Pelvic organ prolapse urinary Incontinence Sexual Questionnaire (PISQ-12) were included. RESULTS: From 2010 to 2013, 68 patients were included. Only 3 cases lost the follow-up in the Laparoscopic sacrocervicopexy. In the laparoscopic colpo-uterine butterfly suspension, there was no recurrence versus in five the laparoscopic sacrocervicopexy. When considered the operating time and blood loss, the laparoscopic colpo-uterine butterfly suspension was more favorable. Erosion was higher in the laparoscopic sacrocervicopexy compared to the other group (0% vs 21.4%). There was no difference in the postoperative PFDI-20 score (P=0.3079), and PFIQ-7 score (P=0.8889) between the two groups, while the PISQ-12 score was much higher in the laparoscopic colpo-uterine butterfly suspension than the other group (P=0.0076). CONCLUSION: Laparoscopic colpo-uterine butterfly suspension is a more effective option for sexually active women with pelvic organ prolapse. SN - 1872-7654 UR - https://www.unboundmedicine.com/medline/citation/25801721/The_effectiveness_of_two_different_laparoscopic_surgeries_for_apical_support_of_pelvic_organ_prolapse_ DB - PRIME DP - Unbound Medicine ER -