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Long-Term Outcomes of Pelvic Organ Prolapse by Laparoscopic Butterfly Suspension

Received: 21 May 2018     Accepted: 4 June 2018     Published: 28 June 2018
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Abstract

Aim The study aimed to investigate the long clinic value of laparoscopic colpo-uterine butterfly suspension for pelvic organ prolapse. Methods Ninety-three patients who underwent the laparoscopic colpo-uterine butterfly suspension from December 2012 to May 2018 at the first affiliated hospital of zhengzhou university were analyzed in a retrospective study. Baseline characteristics and perioperative data were recorded. The POP quantification (POP-Q) system indicates the pre- and post-operative data. Respectively,the symptoms, health-related quality of life (HRQL) and Sexual function were evaluated by the Pelvic Floor Distress Inventory (PFDI-20), the Pelvic Floor Impact Questionnaire (PFIQ-7) and the Pelvic organ prolapse urinary Incontinence Sexual Questionnaire (PISQ-12). Results In 5 years’ follow-up, the objective cure ratio reached 97.8%, and the subjective success rate of the laparoscopic colpo-uterine butterfly suspension was 93.5%. Two cases was identified as clinical relapse. There was only one abdominal erosion during the long-term follow-up. The quality of life had improved significantly without any genital symptoms. No patients abstained from sex due to the operation or postoperative sexual discomfort. Conclusions The laparoscopic colpo-uterine butterfly suspension is a safe, feasible and highly effective technique that offers a good long-term results for the treatment of pelvic organ prolapse, also a good option for sexually active women.

Published in Journal of Gynecology and Obstetrics (Volume 6, Issue 3)
DOI 10.11648/j.jgo.20180603.15
Page(s) 67-70
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2018. Published by Science Publishing Group

Keywords

Colpo-uterine Suspension, Pelvic Organ Prolapse, Laparoscopic, Erosion, Sexually Active

References
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[3] Digesu G, Chaliha C, Salvatore S, et al. The relationship of vaginal prolapse severity to symptoms and quality of life. BJOG 2005: 112: 971-976.
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[15] Withagen MI, Milani AL, den Boon J, et al. Trocar-guided mesh compared with conventional vaginal repair in recurrent prolapse: a randomized controlled trial. Obstet Gynecol 2011; 117: 242-250.
[16] de Landsheere, L. Changes in elastin density in different locations of the vaginal wall in women with pelvic organ prolapse. Int Urogynecol J 2014; 25, 1673-1681.
[17] Vollebregt, A., Fischer, K., Gietelink, D. et al. Primary surgical repair of anterior vaginal prolapse: a randomised trial comparing anatomical and functional outcome between anterior colporrhaphy and trocar-guided transobturator anterior mesh. BJOG 2011; 118, 1518-27.
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Cite This Article
  • APA Style

    Shunshuang Li, Mei Ji, Xianlan Zhao, Xiaoyan Zhang. (2018). Long-Term Outcomes of Pelvic Organ Prolapse by Laparoscopic Butterfly Suspension. Journal of Gynecology and Obstetrics, 6(3), 67-70. https://doi.org/10.11648/j.jgo.20180603.15

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    ACS Style

    Shunshuang Li; Mei Ji; Xianlan Zhao; Xiaoyan Zhang. Long-Term Outcomes of Pelvic Organ Prolapse by Laparoscopic Butterfly Suspension. J. Gynecol. Obstet. 2018, 6(3), 67-70. doi: 10.11648/j.jgo.20180603.15

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    AMA Style

    Shunshuang Li, Mei Ji, Xianlan Zhao, Xiaoyan Zhang. Long-Term Outcomes of Pelvic Organ Prolapse by Laparoscopic Butterfly Suspension. J Gynecol Obstet. 2018;6(3):67-70. doi: 10.11648/j.jgo.20180603.15

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  • @article{10.11648/j.jgo.20180603.15,
      author = {Shunshuang Li and Mei Ji and Xianlan Zhao and Xiaoyan Zhang},
      title = {Long-Term Outcomes of Pelvic Organ Prolapse by Laparoscopic Butterfly Suspension},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {6},
      number = {3},
      pages = {67-70},
      doi = {10.11648/j.jgo.20180603.15},
      url = {https://doi.org/10.11648/j.jgo.20180603.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20180603.15},
      abstract = {Aim The study aimed to investigate the long clinic value of laparoscopic colpo-uterine butterfly suspension for pelvic organ prolapse. Methods Ninety-three patients who underwent the laparoscopic colpo-uterine butterfly suspension from December 2012 to May 2018 at the first affiliated hospital of zhengzhou university were analyzed in a retrospective study. Baseline characteristics and perioperative data were recorded. The POP quantification (POP-Q) system indicates the pre- and post-operative data. Respectively,the symptoms, health-related quality of life (HRQL) and Sexual function were evaluated by the Pelvic Floor Distress Inventory (PFDI-20), the Pelvic Floor Impact Questionnaire (PFIQ-7) and the Pelvic organ prolapse urinary Incontinence Sexual Questionnaire (PISQ-12). Results In 5 years’ follow-up, the objective cure ratio reached 97.8%, and the subjective success rate of the laparoscopic colpo-uterine butterfly suspension was 93.5%. Two cases was identified as clinical relapse. There was only one abdominal erosion during the long-term follow-up. The quality of life had improved significantly without any genital symptoms. No patients abstained from sex due to the operation or postoperative sexual discomfort. Conclusions The laparoscopic colpo-uterine butterfly suspension is a safe, feasible and highly effective technique that offers a good long-term results for the treatment of pelvic organ prolapse, also a good option for sexually active women.},
     year = {2018}
    }
    

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  • TY  - JOUR
    T1  - Long-Term Outcomes of Pelvic Organ Prolapse by Laparoscopic Butterfly Suspension
    AU  - Shunshuang Li
    AU  - Mei Ji
    AU  - Xianlan Zhao
    AU  - Xiaoyan Zhang
    Y1  - 2018/06/28
    PY  - 2018
    N1  - https://doi.org/10.11648/j.jgo.20180603.15
    DO  - 10.11648/j.jgo.20180603.15
    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
    SP  - 67
    EP  - 70
    PB  - Science Publishing Group
    SN  - 2376-7820
    UR  - https://doi.org/10.11648/j.jgo.20180603.15
    AB  - Aim The study aimed to investigate the long clinic value of laparoscopic colpo-uterine butterfly suspension for pelvic organ prolapse. Methods Ninety-three patients who underwent the laparoscopic colpo-uterine butterfly suspension from December 2012 to May 2018 at the first affiliated hospital of zhengzhou university were analyzed in a retrospective study. Baseline characteristics and perioperative data were recorded. The POP quantification (POP-Q) system indicates the pre- and post-operative data. Respectively,the symptoms, health-related quality of life (HRQL) and Sexual function were evaluated by the Pelvic Floor Distress Inventory (PFDI-20), the Pelvic Floor Impact Questionnaire (PFIQ-7) and the Pelvic organ prolapse urinary Incontinence Sexual Questionnaire (PISQ-12). Results In 5 years’ follow-up, the objective cure ratio reached 97.8%, and the subjective success rate of the laparoscopic colpo-uterine butterfly suspension was 93.5%. Two cases was identified as clinical relapse. There was only one abdominal erosion during the long-term follow-up. The quality of life had improved significantly without any genital symptoms. No patients abstained from sex due to the operation or postoperative sexual discomfort. Conclusions The laparoscopic colpo-uterine butterfly suspension is a safe, feasible and highly effective technique that offers a good long-term results for the treatment of pelvic organ prolapse, also a good option for sexually active women.
    VL  - 6
    IS  - 3
    ER  - 

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Author Information
  • Department of Obstetrics and Gynecology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China

  • Department of Obstetrics and Gynecology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China

  • Department of Obstetrics and Gynecology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China

  • Department of Obstetrics and Gynecology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China

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