SURGICAL TREATMENT OF PATIENTS WITH PELVIC PROLAPSE
https://doi.org/10.33878/2073-7556-2018-0-3-44-49
Abstract
AIM. To assess efficacy of surgical procedures with use of meshes for pelvic prolapse. PATIENTS AND METHODS. Retrospective study included 235 females aged 59.3±7.5 years which underwent surgery for pelvic prolapse in 2013-2017. Surgical reconstruction of pelvic floor was performed using several types of meshes: Pelvix («Lintex»), Urosling («Lintex»), Prolift («Gynecare»). Results were assessed clinically (POP-Q stage), by questionnaire, uroflowmetry, evaluation of QoL (PFDI-20 scale). Patients underwent control examinations 2 weeks after surgery, 3,6,12,24,36 months. RESULTS. Post-op complications were obtained in 4 (1.7%) patients and included bladder injury in 2 (0.85%) females and paravesical hematoma in 2 (0.85%). Control examinations after 2 weeks and 1 month were done in 235 (100.0%) patients, after 12 months - in 140 (59.6%), after 24 months - in 98 (41.7%), after 36 - in 58 (24.6%). Recurrence was detected in 11 (4.7%)patients. Eight (3.4%) produced stress urinary incontinence 1 year after surgery. QoL improved significantly from 159.2 to 28.7 points (p<0.05). CONCLUSION. Mesh surgery for pelvic prolapse is safe, provides low recurrence and improves QoL significantly.
About the Authors
A. Y. Ilkanich
Surgut district clinical hospital
Russian Federation
Russian Federation
V. V. Darwin
Surgut district clinical hospital
Russian Federation
Russian Federation
F. S. Aliev
Surgut district clinical hospital
Russian Federation
Russian Federation
A. S. Matveeva
Surgut district clinical hospital
Russian Federation
Russian Federation
Zh. N. Lopatskaya
Surgut district clinical hospital
Russian Federation
Russian Federation
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Review
For citations:
Ilkanich A.Y., Darwin V.V., Aliev F.S., Matveeva A.S., Lopatskaya Zh.N. SURGICAL TREATMENT OF PATIENTS WITH PELVIC PROLAPSE. Koloproktologia. 2018;(3):44-49. (In Russ.) https://doi.org/10.33878/2073-7556-2018-0-3-44-49
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