Postoperative pelvic dysfunctions associated with the reconstruction of the pelvic floor.

IF 1 Q2 Medicine

Minerva ginecologica Pub Date : 2020-08-01 DOI:10.23736/S0026-4784.20.04532-3

Viktoriya A Krutova, Olga V Tarabanova, Aminat A Khachetsukova, Aleksandr A Khalaphyan

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引用次数: 0

Abstract

Background: The authors were aiming to conduct the comparative analysis of the frequency of formation of pelvic dysfunctions after surgical correction of genitalia prolapse in women by a vaginal approach using native tissue repair of the vaginal paries and synthetic implants.

Methods: The study included 546 patients with stage II-IV genitalia prolapse according to the POP-Q classification. The quality of life was assessed using PD-QL and PFIQ-7 questionnaires. The 1st group included patients after native tissue repair (N.=314), the 2^nd - after surgery with the use of synthetic implants (N.=232).

Results: In the 1^st group de-novo dysfunctions were revealed as follows: stress urinary incontinence: in 4.9% of women, urgency: in 2.2%, obstructive urination: in 8.0%; constipation or fecal and flatal incontinence: none. The index of pelvic floor dysfunction decreased from 50±14% to 8±2%. The index of influence on the quality of life decreased from 81±14% to 9% after 12 months. In the 2^nd group, de-novo dysfunctions were revealed as follows: stress urinary incontinence: in 9.5% of women, urgency: in 9.1%, obstructive urination: in 23.7%; constipation or fecal and flatal incontinence: 1 patient (0.4%). In patients of the 2^nd group, there was a decrease in the pelvic floor dysfunction index from 48±12% to 10±2%. The index of influence on the quality of life decreased from 79±15% to 5% after 12 months.

Conclusions: The use of synthetic implants causes the formation of de novo pelvic dysfunctions more often than the native tissue repair.

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术后盆腔功能障碍与盆底重建相关。

背景:作者的目的是进行比较分析的频率形成盆腔功能障碍的手术矫治女性生殖器脱垂阴道入路阴道局部的天然组织修复和人工种植体。方法:采用POP-Q分级法对546例II-IV期阴部脱垂患者进行分析。采用PD-QL和PFIQ-7问卷评估患者的生活质量。第一组为自体组织修复后患者(314例)，第二组为人工种植体植入后患者(232例)。结果:第一组患者新生功能障碍表现为:压力性尿失禁4.9%，急症2.2%，排尿梗阻8.0%;便秘或大便和大便失禁:无。盆底功能障碍指数由50±14%降至8±2%。12个月后对生活质量的影响指数由81±14%降至9%。第二组新生功能障碍表现为:压力性尿失禁9.5%，急症9.1%，排尿梗阻性23.7%;便秘或大便和大便失禁:1例(0.4%)。第二组患者盆底功能障碍指数从48±12%下降到10±2%。12个月后对生活质量的影响指数由79±15%下降到5%。结论:人工合成种植体的使用比自然组织修复更容易引起新生盆腔功能障碍的形成。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Minerva ginecologica OBSTETRICS & GYNECOLOGY-

CiteScore

3.00

自引率

0.00%

发文量

期刊介绍： The journal Minerva Ginecologica publishes scientific papers on obstetrics and gynecology. Manuscripts may be submitted in the form of editorials, original articles, review articles, case reports, therapeutical notes, special articles and letters to the Editor. Manuscripts are expected to comply with the instructions to authors which conform to the Uniform Requirements for Manuscripts Submitted to Biomedical Editors by the International Committee of Medical Journal Editors (www.icmje.org). Articles not conforming to international standards will not be considered for acceptance.