Journal of Shandong University (Health Sciences) ›› 2022, Vol. 60 ›› Issue (3): 71-75.doi: 10.6040/j.issn.1671-7554.0.2021.1244

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Medium- and long-term efficacy of transvaginal mesh pelvic floor reconstruction

LI Qing1, LIN Xueyan2, LIU Tianhang2, LI Xiaowen1, FAN Mingzhe1, ZHAO Ruirui2, TIAN Yongjie1,2   

  1. 1. Department of Gynaecology, Shandong Provincial Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250021, Shandong, China;
    2. Department of Gynaecology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, Shandong, China
  • Published:2022-03-09

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Abstract: Objective To analyze the medium- and long-term efficacy of transvaginal mesh pelvic floor reconstruction with or without uterus preservation. Methods A total of 76 patients with pelvic floor organ prolapse who underwent surgical treatment during Jan. 2010 and Dec. 2016 were selected as the research objects and divided into two groups: uterus conservation(UC)group and concomitant hysterectomy(CH)group, with 38 cases in either group. The perioperative indicators and changes of POP-Q scores before operation, 6 months, 1 year and 5 years after operation as the objective curative effect were compared. The Pelvic Floor Disorder Scale(PFDI-20), Pelvic Floor Disorder Impact Simple Questionnaire(PFIQ-7)and Pelvic Organ Prolapse/Urinary Incontinence Quality of Life Questionnaire(PISQ-12)scores as the subjective curative effect were compared. Results The UC group had shorter length of hospital stay(P<0.001), operation time(P<0.001), postoperative exhaust time(P=0.004), urinary catheter indwelling time(P<0.001)and less intraoperative bleeding volume(P<0.001)than the CH group. The POP-Q scores in both groups were improved after operation. There were significant differences in PFDI-20, PFIQ-7 and PISQ-12 scores at different times(P<0.001). The UC group had higher PISQ-12 score at 6 months(P<0.001), 1 year(P<0.001)and 5 years(P<0.001)after the operation than the CH group. During the medium- and long-term follow-up, there were 3 cases of pelvic infection and 6 cases of dysuria, and no other complications were observed. Conclusion Transvaginal mesh pelvic floor reconstruction is safe and effective. Whether to preserve the uterus does not affect the postoperative efficacy, but preserving the uterus can improve perioperative indicators and quality of sexual life.

Key words: Transvaginal mesh pelvic floor reconstruction, Pelvic floor mesh, Pelvic organ prolapse, Curative effect

CLC Number: 

  • R713.4
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