Effect of Modified LeFort Vaginal Closure Surgery and Modified Total Pelvic Floor Reconstruction Surgery on Severe Pelvic Organ Prolapse in Elderly Women

HU Yuhan; WANG Houmei; XIAO Ziwen

doi:10.14033/j.cnki.cfmr.2024.02.010

Abstract：Objective:To investigate the effect of modified LeFort vaginal closure surgery and modified total pelvic floor reconstruction surgery on severe pelvic organ prolapse(POP)in elderly women.Method:From February 17,2016 to February 17,2021,82 elderly women with severe POP admitted to the Department of Gynecology in Affiliated Hospital of Guizhou Medical University were selected.They were divided into control group and experimental group according to random drawing method,with 41 cases in each group.The control group was given modified LeFort vaginal closure surgery,and the experimental group was given modified total pelvic floor reconstruction surgery.The perioperative indexes,related indexes,clinical symptoms and quality of life before and half a year after surgery,urination and defecation condition before and 1 week after surgery were compared between the two groups.Result:There were no significant differences in surgery time,hospital stay,catheter indwelling time and intraoperative blood loss volume between the two groups(P>0.05).The cure rate of experimental group was higher than that of control group,the recurrence rate,the incidence of new stress urinary incontinence and the incidence of reoperation were lower than those of control group,and the differences were statistically significant(P<0.05).Half a year after surgery,pelvic floor distress inventory-short form 20(PFDI-20),pelvic floor impact questionnaire--short form 7(PFIQ-7)scores decreased in the two groups,and the PFDI-20 and PFIQ-7 scores of experimental group were lower than those of control group,the differences were statistically significant(P<0.05).At 1 week after surgery,the incidences of urgent urination,frequent micturition,difficulty urinating and defecation in the experimental group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:Modified total pelvic floor reconstruction surgery is more helpful to improve the prolapse recurrence rate of patients,and improve patients'urination and defecation conditions.The surgery is very safe and effective.