[Re-treatments of recurrence after pelvic floor repair surgery].

Abstract

Objective: To analyze re-treatments of recurrence after the pelvic floor repair surgery. Methods: The protocol and the effect of re-treatments were investigated by reviewing and analyzing the clinical data of 81 recurrent patients (grade Ⅱ and above), who had received the pelvic floor repair surgery from January 2011 to January 2016. Pelvic organ prolapse quantitation system (POP-Q) and two questionnaires about quality of life [pelvic floor distress inventory-short form 20 (PFDI-20) and pelvic floor impact questionnaire short form (PFIQ-7)] were used to evaluate objective and subjective efficacy, respectively. Results: Among 81 recurrent patients who were followed up for a median of 35 months (10- 69 months), 78 cases (with prolapse up to grade Ⅲ or Ⅳ) were treated by surgical operation with both objective cure rate and subjective satisfaction being 100% (78/78); 3 cases (with grade Ⅱ prolapse) were treated by pelvic floor electrical stimulation biofeedback, and 1 case among the three cases had the vaginal foreign body sensation, the subjective satisfaction was 2/3. The methods of surgical operation for the 78 recurrent patients included: total pelvic floor reconstructive surgery (55 cases; 3 of which involve trachelectomy), anterior pelvic reconstructive surgery (2 cases), posterior pelvic reconstructive surgery (3 cases), Y-mesh sacral colpopexy (2 cases), colpocleisis (11 cases), vaginal hysterectomy combined posterior fornix forming (3 cases), and vaginal hysterectomy combined posterior pelvic reconstructive surgery(2 cases). Conclusion: The extent of recurrence, the recurrent site and complications must be carefully considered and evaluated for re-treatments of recurrence after pelvic floor repair surgery, and then an appropriately individualized re-treatment protocol could be designed for each of the patients.

• Authors: S X Fan, F M Wang, L S Lin, Y F Song
• Journal: Zhonghua fu chan ke za zhi (Zhonghua Fu Chan Ke Za Zhi) Vol. 52 Issue 6 Pg. 374-378 (Jun 25 2017) ISSN: 0529-567X [Print] China
• PMID: 28647959 (Publication Type: Journal Article)

Topics

• Aged
• Female
• Follow-Up Studies
• Gynecologic Surgical Procedures (adverse effects, methods)
• Humans
• Hysterectomy, Vaginal (methods)
• Middle Aged
• Pelvic Floor (surgery)
• Pelvic Organ Prolapse (surgery)
• Postoperative Complications (epidemiology)
• Quality of Life
• Plastic Surgery Procedures
• Recurrence
• Sacrum
• Severity of Illness Index
• Surgical Mesh
• Surveys and Questionnaires
• Treatment Outcome
• Vagina