Department of Obstetrics and Gynecology, Pelvic Floor Fellowship, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Pelvic Floor Fellowship, Department of Obstetrics and Gynecology, Fertility Infertility and Perinatology Research Center, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
J Med Life. 2024 Apr;17(4):392-396. doi: 10.25122/jml-2023-0321.
The aim of this study was to evaluate the quality of life, pelvic discomfort, and sexual function of patients who underwent posterior pericervical repair or level I to III surgical procedures for pelvic organ prolapse (POP) after 5 years of follow-up. This retrospective cohort study enrolled 107 women with POP who were referred to the Imam Khomeini Hospital Complex, an academic center affiliated with the Tehran University of Medical Sciences, Tehran, Iran, from 2014 to 2021. The patients underwent transvaginal surgery using native tissue, in which the rectovaginal fascia was attached to the pericervical ring. The Pelvic Floor Distress Inventory-20 (PFDI-20) and Lower Urinary Tract Symptoms Module (ICIQ-FLUTSsex) questionnaires were completed by each patient before and 5 years after surgery. Of the 107 patients, only 78 completed the 5-year follow-up. The mean PFDI-20 scores before, 12 months, and 5 years after surgery were 141.87 ± 34.48, 100.87 ± 26.48, and 37.49 ± 56.39, respectively, indicating a significant improvement in the patients' symptoms after surgery ( < 0.001). The total mean score of ICIQ-FLUTSsex was 3.67 ± 3.63 (range, 0-10). In total, 22 (28.2%) women had an ICIQ-FLUTSsex score of 0, indicating no problems. The attachment of the rectovaginal fascia to the pericervical rings can be an effective surgical technique for correcting posterior vaginal wall prolapses, without significant morbidity. The PFDI-20 score improved significantly from before surgery to 12 months and 5 years after surgery.
本研究旨在评估 107 名接受经阴道后盆腔修复或 I 至 III 级盆腔器官脱垂（POP）手术的患者在随访 5 年后的生活质量、盆腔不适和性功能。这是一项回顾性队列研究，纳入了 2014 年至 2021 年期间来自伊朗德黑兰的德黑兰医科大学附属伊玛目霍梅尼医院综合中心的 107 名 POP 患者。患者接受了使用天然组织的经阴道手术，其中直肠阴道筋膜附着于宫颈环。每位患者在手术前和手术后 5 年完成了盆腔底部不适量表-20 项（PFDI-20）和下尿路症状模块（ICIQ-FLUTSsex）问卷。在 107 名患者中，只有 78 名完成了 5 年随访。手术前、12 个月和 5 年后的 PFDI-20 评分分别为 141.87±34.48、100.87±26.48 和 37.49±56.39，表明患者手术后症状显著改善（<0.001）。ICIQ-FLUTSsex 的总平均得分为 3.67±3.63（范围为 0-10）。总共有 22 名（28.2%）女性的 ICIQ-FLUTSsex 评分为 0，表明没有问题。直肠阴道筋膜附着于宫颈环可以是一种有效的手术技术，用于纠正后阴道壁脱垂，且不会产生明显的发病率。PFDI-20 评分从手术前到 12 个月和 5 年后均显著改善。
