Postoperative pelvic dysfunctions associated with the reconstruction of the pelvic floor
| Autor: | V A Krutova, Aleksandr A Khalaphyan, Olga V Tarabanova, Aminat A Khachetsukova |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Constipation media_common.quotation_subject Urinary incontinence Urination Pelvic Organ Prolapse 03 medical and health sciences 0302 clinical medicine Pelvic floor dysfunction Quality of life Surveys and Questionnaires medicine Humans Stage (cooking) media_common 030219 obstetrics & reproductive medicine Pelvic floor business.industry Obstetrics and Gynecology Pelvic Floor Surgical Mesh medicine.disease Surgery Urinary Incontinence medicine.anatomical_structure Surgical mesh 030220 oncology & carcinogenesis Quality of Life Female medicine.symptom business |
| Zdroj: | Minerva Ginecologica. 72 |
| ISSN: | 1827-1650 0026-4784 |
| DOI: | 10.23736/s0026-4784.20.04532-3 |
| Popis: | Background The authors were aiming to conduct the comparative analysis of the frequency of formation of pelvic dysfunctions after surgical correction of genitalia prolapse in women by a vaginal approach using native tissue repair of the vaginal paries and synthetic implants. Methods The study included 546 patients with stage II-IV genitalia prolapse according to the POP-Q classification. The quality of life was assessed using PD-QL and PFIQ-7 questionnaires. The 1st group included patients after native tissue repair (N.=314), the 2nd - after surgery with the use of synthetic implants (N.=232). Results In the 1st group de-novo dysfunctions were revealed as follows: stress urinary incontinence: in 4.9% of women, urgency: in 2.2%, obstructive urination: in 8.0%; constipation or fecal and flatal incontinence: none. The index of pelvic floor dysfunction decreased from 50±14% to 8±2%. The index of influence on the quality of life decreased from 81±14% to 9% after 12 months. In the 2nd group, de-novo dysfunctions were revealed as follows: stress urinary incontinence: in 9.5% of women, urgency: in 9.1%, obstructive urination: in 23.7%; constipation or fecal and flatal incontinence: 1 patient (0.4%). In patients of the 2nd group, there was a decrease in the pelvic floor dysfunction index from 48±12% to 10±2%. The index of influence on the quality of life decreased from 79±15% to 5% after 12 months. Conclusions The use of synthetic implants causes the formation of de novo pelvic dysfunctions more often than the native tissue repair. |
| Databáze: | OpenAIRE |
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