Laparoscopic unilateral pectopexy in the treatment of middle pelvic organ prolapse

doi:10.3877/cma.j.issn.1674-6899.2020.06.010

Abstract

Abstract:

Objective

To study the efficiency and safety of laparoscopic unilateral pectopexy which uses sling suspension in the treatment of middle pelvic organ prolapse.

Methods

20 patients who underwent laparoscopic unilateral pectopexy(a sling suspension without mesh) due to middle pelvic prolapse with POP-Q score above II was analyzed in our department from Jun. 2015 to Jun. 2017.The clinical efficacy were evaluated by comparing the POP-Q score, PFDI-20 and PFIQ-7 questionnaires before operation and 36 months after operation to understand the subjective satisfaction.

Results

The operations were successfully completed in the 20 patients.No injuries of rectum or other organs occurred.One case of postoperative urine retention was cured one week later. The Aa, Ba, Ap, Bp , C and TVL of POP-Q were significantly different before and 12 months after operation (P<0.01) or before and 36 months after operation (P<0.01). There were significant differences in PFDI-20[(91.06±25.02)vs (25.17±8.10)] and PFIQ-7 [(98.42±25.36) vs (24.98±9.02)] scores before operation and 36 months after operation (P<0.01). Subjective satisfaction was 100%.

Conclusions

Laparoscopic unilateral pectopexy, a sling suspension without mesh, is a new method for the treatment of middle pelvic organ prolapse, which is safe, effective and easier to learn. Large randomized controlled trial are still needed to further observe the long-term efficacy and complications.

Key words: Pelvic organ prolapse, Laparoscopy, Pectopexy, POP-Q score

Qingxia Zhang, Yanjun Yang, Yang Wang, Jing Liang, Bin Ling, Qingyun Chen. Laparoscopic unilateral pectopexy in the treatment of middle pelvic organ prolapse[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2020, 13(06): 362-366.

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URL: https://zhqjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-6899.2020.06.010

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References 17

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时间	Aa	Ba	Ap	Bp	C	TVL
术前	1.0(-0.75，2.8)	3.0(1.0，4.0)	-1.0(-2.75，0.0)	-1.0(-2.75，0.0)	3.5( 2.0，5.0)	7.0(6.0，7.0)
术后36个月	-3.0(-3.0，-2.0)	-3.0(-3.0，-2.0)	-3.0(-3.0，-2.0)	-3.0(-3.0，-2.0)	-6.0(-7.0，-6.0)	8.0(7.0，8.0)
Z值	-3.54	-3.84	-3.27	-3.32	-3.93	-3.23
P值	<0.01	<0.01	<0.01	<0.01	<0.01	<0.01

时间	Aa	Ba	Ap	Bp	C	TVL
术前	1.0(-0.75，2.8)	3.0(1.0，4.0)	-1.0(-2.75，0.0)	-1.0(-2.75，0.0)	3.5( 2.0，5.0)	7.0(6.0，7.0)
术后36个月	-3.0(-3.0，-2.0)	-3.0(-3.0，-2.0)	-3.0(-3.0，-2.0)	-3.0(-3.0，-2.0)	-6.0(-7.0，-6.0)	8.0(7.0，8.0)
Z值	-3.54	-3.84	-3.27	-3.32	-3.93	-3.23
P值	<0.01	<0.01	<0.01	<0.01	<0.01	<0.01

时间	PFDI-20	POPDI-6	CRADI-8	UDI-6	PFIQ-7
术前	91.06±25.02	48.95±9.15	11.61±9.23	34.70±10.79	98.42±25.36
术后36个月	25.17±8.10	8.40±4.90	4.99±3.76	7.98±1.50	24.98±9.02
Z值	-3.92	-3.92	-2.84	-3.92	-3.92
P值	<0.01	<0.01	<0.01	<0.01	<0.01

时间	PFDI-20	POPDI-6	CRADI-8	UDI-6	PFIQ-7
术前	91.06±25.02	48.95±9.15	11.61±9.23	34.70±10.79	98.42±25.36
术后36个月	25.17±8.10	8.40±4.90	4.99±3.76	7.98±1.50	24.98±9.02
Z值	-3.92	-3.92	-2.84	-3.92	-3.92
P值	<0.01	<0.01	<0.01	<0.01	<0.01

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