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Year 2019

Volume: 6 , Issue: 3

Print ISSN:-2394-2746

Online ISSN:-2394-2754

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Indian Journal of Obstetrics and Gynecology Research


A prospective study using POP-Q classification to analyse the outcome of vaginal hysterectomy with pelvic floor repair


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Author Details: Janani GD, Jaya V, Lalitha D

Volume : 4

Issue : 4

Online ISSN : 2394-2754

Print ISSN : 2394-2746

Article First Page : 384

Article End Page : 388


Abstract

Aim: The aim of the study was to analyse symptom relief and surgical outcomes of women with Pelvic organ prolapse (POP). Material and methods: A total of 100 women were enrolled in the study to be followed upto 6 months post surgery. After excluding 14 patients due to attrition, 86 patients were analysed. Vaginal hysterectomy and anterior colporrhaphy was done in all cases. Site specific repair was decided upon case to case basis. They were followed post operatively with regard to symptom relief and anatomical correction was analysed at 6 months using Pelvic Organ Prolapse-Quantification (POP-Q) System.
Results: The incidence of POP is highest between 40-50 years of age and with parity >4. Using POP-Q staging system, 70.9% women had stage III prolapse, 17.4% had stage II, 9.3% had stage IV and 2.3% had stage I prolapse. Women with dysuria and low back ache were the least to get relieved of the symptom after surgery. The improvement of the symptoms were statistically significant with p-value <0.05. There was 86% improvement of stress urinary incontinence (SUI) when anterior colporrhaphy was combined with anti-incontinence surgery. The number of women who resumed sexual activity after surgery increased to 73% from 51.1% with significant p-value of <0.05. There was significant restoration of anatomy in point Ba (mean length from +4.05 to -2.1), point Bp (mean length from +1.8 to -2.3) and point C (mean length from +3.5 to -5.19) after surgery.
Conclusion: There is significant anatomical restoration and symptom relief after surgery. The surgery had a positive effect on sexual activity.

Keywords: Pelvic organ prolapse, POP-Q, Vaginal hysterectomy, Pelvic floor repair, Stress urinary incontinence