Outcomes of vaginal hysterectomy combined with anterior and posterior colporrhaphy for pelvic organ prolapse: a single center retrospective study

Kim, Ju Hee; Lee, So Young; Chae, Hee Dong; Shin, Yoon Kyung; Lee, Sa Ra; Kim, Sung Hoon

doi:10.5468/ogs.21235

Cited by 5 publications

(2 citation statements)

References 27 publications

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“…Vaginal hysterectomy with anterior repair: In cases where the uterus is also prolapsed, a vaginal hysterectomy may be performed along with an anterior repair to correct both conditions at once [38].…”

Section: Surgical Management Of Anterior Pelvic Prolapsementioning

confidence: 99%

Different treatment tactics of the pelvic organ prolapse according to the type and the degree of the prolapse: A narrative review

2022

FEM

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Background: Women frequently experience pelvic organ prolapse, significantly impacting their quality of life. Pelvic organ prolapse has a variety of treatment opportunities that should be used to each patient's needs, but the general rule is that only those exhibiting symptoms should receive care. Aim: to evaluate the treatment options for prolapse, depending on the type of prolapse and its degree. Methods: In this review, English studies from common databases such as Pubmed/MEDLINE, Web of science, Scopus, and the Cochrane Library with the keywords “pelvic organ prolapse,” “uterine prolapse,” “vaginal hysterectomy,” combined with keywords, involving “laparoscopic hysterectomy,” were involved. The end date for this review is February 2022. Scientific novelty: The main objective of this paper is to evaluate the treatment options for prolapse, depending on the type of prolapse and its degree. Even though many researchers assessed these treatment options, very few researchers reported about the treatment options according to the degree of prolapse. Many researchers compared surgical interventions for the management of pelvic organ prolapse. Though there are similar works, in the present study, the results of the surgical management depending on the severity of the prolapse were evaluated. The practical significance of the result obtained: The results may help physicians to determine the option of management depending on the degree of prolapse. First-degree (mild) usually does not require any treatment. Second-degree (moderate) may be treated with pessary, exercise, and surgery. Third-degree (severe) may be treated with pessary or surgery. Fourth-degree (complete) may be treated with vaginal hysterectomy, sacrocolpopexy, colpocleisis, and uterosacral ligament suspension. Conclusion: Depending on the surgeon's expertise, using various approaches, pelvic organ prolapse treatment is accomplished in various situations. All previous research indicate that surgery aims to maximise patient satisfaction and return the pelvic organs to their original positions.

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Section: Surgical Management Of Anterior Pelvic Prolapsementioning

confidence: 99%

Different treatment tactics of the pelvic organ prolapse according to the type and the degree of the prolapse: A narrative review

2022

FEM

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“…POP causes a huge social and economic burden and adversely affects quality of life. The lifetime risk of POP surgery in women is estimated at 20% [ 1 , 7 – 9 ]. POP can cause various symptoms such as vaginal bulging, pelvic pressure, sexual dysfunction, lower urinary tract dysfunction, and defecatory dysfunction [ 2 , 10 – 13 ].…”

Section: Introductionmentioning

confidence: 99%

Translabial ultrasound for pelvic organ prolapse

Alqahtani¹,

Lee

2022

Obstet Gynecol Sci

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Pelvic organ prolapse (POP) is a significant public health concern in women and a common cause of gynecological surgery in elderly women. The prevalence of POP has increased with an increase in the aging population. POP is usually diagnosed based on pelvic examination. However, an imaging study may be necessary for more accurate diagnosis. Translabial ultrasound (TLUS) was used to assess diverse types of POP, particularly posterior-compartment POP. It is beneficial to distinguish between true and false rectocele, and detect the rectocele as clinically apparent. TLUS can also establish whether the underlying cause is a problem of the rectovaginal septum, perineal hypermobility, or isolated enterocele.TLUS also plays a role in differentiating POP from conditions that mimic POP. It is a simple, inexpensive, and non-harmful diagnostic modality that is appropriate for most gynecologic clinics.

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Value of pelvic examination in women with pelvic organ prolapse: A systematic review

Pizzoferrato,

Sallée,

Thubert

et al. 2024

Intl J Gynecology & Obste

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BackgroundRecent recommendations from the French High Authority of Health on pelvic organ prolapse (POP) management underline the value of a pelvic examination.ObjectivesThe aim of this paper was to analyze the literature and identify the best evidence available regarding pelvic examination for women presenting prolapse‐associated symptoms in terms of diagnosis and predictability of treatment success.Search StrategyThe databases were queried similarly using Medical Subject Headings (MeSH) and non‐MeSH terms broadly related to pelvic examination and POP management.Selection CriteriaWe included studies assessing the diagnostic contribution of pelvic examination (correlation with symptoms) and its value for assessing the risk of pessary failure or recurrence after reconstructive surgery.Data Collection and AnalysisWe assessed peer‐reviewed articles on PubMed, Embase, and Cochrane database up to May 2023. The methodological quality of all the included studies was assessed using the ROBINS‐E or RoB2 tools.Main ResultsIn all, 67 studies were retained for the review. Prolapse‐associated symptoms are poorly correlated with POP diagnosis. The symptom that is best correlated with the POP stage is the presence of a vaginal bulge (moderate to good correlation). The factors most strongly associated with the risk of recurrence after surgery or pessary failure are clinical: essentially a higher POP stage before surgery, levator ani muscle avulsion, and vaginal and genital measurements.ConclusionsIn women complaining of prolapse‐associated symptoms, a pelvic examination (vaginal speculum and digital vaginal examination) can confirm the presence of POP and identify risk factors for treatment failure or recurrence after surgical management or pessary placement. A higher stage of POP and levator ani muscle avulsion—discernible on pelvic examination—are major risk factors for POP recurrence or treatment failure. These features must be taken into account in the treatment choice and discussed with the patient.

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Outcomes of vaginal hysterectomy combined with anterior and posterior colporrhaphy for pelvic organ prolapse: a single center retrospective study

Cited by 5 publications

References 27 publications

Different treatment tactics of the pelvic organ prolapse according to the type and the degree of the prolapse: A narrative review

Different treatment tactics of the pelvic organ prolapse according to the type and the degree of the prolapse: A narrative review

Translabial ultrasound for pelvic organ prolapse

Value of pelvic examination in women with pelvic organ prolapse: A systematic review

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