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Clinical Outcomes in Patients with Advanced Pelvic Prolapse who Underwent Le Fort Surgery or Pessary Placement- A prospective Cohort Study
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Elham Gholamian    , Fedyeh Haghollahi , Samaneh Tarokh , Maryam Hajihashemy , Mamak Shariat |
| Beheshti Hospital, Isfahan University of Medical Sciences, Isfahan, Iran , hajhashemy73@yahoo.com |
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Abstract: (1587 Views) |
Background: The aim of the present study was to compare the six-month results in terms of prolapse symptoms in postmenopausal patients with advanced pelvic prolapse (POP) who underwent LeFort colpocleisis surgery or with pessary placement.
Methods: In this prospective cohort study, 110 older women were enrolled from April 2016 to January 2018. The women were diagnosed with stage III or higher genital prolapse according to the POP quantification (POP-Q) system. The patients were divided into two groups: surgical (LeFort colpocleisis surgery; n=55) and non-surgical (pessary placement, n=55). The study population underwent LeFort colpocleisis surgery or pessary placement in two university clinics (Beheshti or Alzahra Hospitals). All patients completed the Pelvic Floor Distress Inventory Questionnaire-20 (PFDI-20). The main short-term outcome measurement (six months) was the manifestation of a pelvic prolapse in the groups.
Results: The patients had a mean age of 68.98±8.79 years in the non-surgical group and 64.76±7.04 years in the surgical group. The analytic results showed a significant difference between the two groups (P=0.006). After treatment, the prolapse symptoms improved in both groups (p<0.001). However, the total PFDI-20 score did not show any significant differences at the end of the six-month follow- up (P=0.19).
Conclusion: Both strategies (pessary placement or LeFort colpocleisis surgery) provide a short-term option for the treatment of older women with stage III or higher POP. The findings of this study could assist with treatment options and allow better guidance for older patients with symptomatic POP in the treatment decision process.
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| Keywords: Modified LeFort Colpocleisis, Pelvic Floor Reconstructive Surgery, Pelvic Organ Prolapse |
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Full-Text [PDF 228 kb]
(726 Downloads)
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Type of Study: Original Article |
Subject:
Obstetrics & Gynicology
Received: 2020/12/26 | Accepted: 2021/04/14 | Published: 2022/02/13
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