Comparison of Clinical Results of Lefort and Total Colpocleisis Operations Performed in Patients with Uterovaginal Pelvic Prolapse

Author:

ÇETİN ARSLAN Hale1ORCID,ARSLAN Kadir2ORCID,ŞAVKLI Ayşe Özge3ORCID

Affiliation:

1. SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İSTANBUL KANUNİ SULTAN SÜLEYMAN SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, KADIN HASTALIKLARI VE DOĞUM ANABİLİM DALI

2. SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İSTANBUL KANUNİ SULTAN SÜLEYMAN SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, ANESTEZİYOLOJİ ANABİLİM DALI

3. SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İSTANBUL BAŞAKŞEHİR ÇAM VE SAKURA ŞEHİR SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, KADIN HASTALIKLARI VE DOĞUM ANABİLİM DALI

Abstract

Purpose: The aim of this study is to compare the clinical results and operation success of Lefort and Total Colpocleisis surgeries performed in patients with stage 2 and above pelvic organ prolapse (POP). Materials and Methods: This retrospective cohort study included 40 patients who underwent Lefort and Total Colpocleisis surgeries in our clinic between 2015-2022. Demographic and clinical results were obtained from the hospital database. Data on the presence of relapse and de novo incontinence symptoms, postoperative complications, and their management were obtained from individual postoperative examinations of the patients. Results: The mean age at operation was 75.7±6.7. The mean parity of the patients was four, and all had a normal vaginal delivery. It was observed that 67.5% of the subjects had at least one comorbidity. The anatomic success rate of Total colpocleisis at one-year follow-up was 95.4%, and Lefort colpocleisis was 94.4%. The incidence of de novo stress urinary incontinence at one-year follow-up was 10%. The subjects were treated with mini-sling operations. Conclusion: Colpoclesis can be safely applied in the elderly and sexually inactive population due to its low perioperative complications and recurrence rates compared to reconstructive surgeries. It should be kept in mind that de novo incontinence may occur after colpoclesis surgery.

Publisher

Cukurova Anestezi ve Cerrahi Bilimler Dergisi

Reference21 articles.

1. 1. Nawrot J, Humaj-Grysztar M, Gniadek A, et al. Quality of life of women with postmenopausal pelvic organ prolapse. Pielegniarstwo XXI wieku / Nursing in the 21st Century. 2017;16:17-23.

2. 2. Nygaard I, Barber MD, Burgio KL, et al. Prevalence of symptomatic pelvic floor disorders in US women. The Journal of the American Medical Association. 2008;300:1311–16.

3. 3. Demirci N, Ataman H, Aba A, et al. Pelvik organ prolapsusu/üriner inkontinans ile ilişkili şikayetlerin kadınların cinsel fonksiyonuna etkisi. Zeynep Kamil Tıp Bülteni. 2013;44:58–64.

4. 4. Abbasy S, Kenton K. Obliterative procedures for pelvic organ prolapse. Clin Obstet Gynecol. 2010;53:86-98.

5. 5. Güner H, Güler İ. Transvaginal approaches to uterın and vault prolapse. Turkiye Klinikleri J Surg Med Sci. 2007;3:70-6.

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3