Kinouchi Riyo, Yoshida Kanako, Kawakita Takako, Yasui Toshiyuki, Iwasa Takeshi, Kato Takeshi
Department of Obstetrics and Gynecology, The University of Tokushima Graduate School, Institute of Health Biosciences, Tokushima, Japan.
Department of Reproductive and Menopausal Medicine, The University of Tokushima Graduate School, Institute of Health Biosciences, Tokushima, Japan.
Gynecol Minim Invasive Ther. 2024 Jul 18;13(3):168-173. doi: 10.4103/gmit.gmit_19_23. eCollection 2024 Jul-Sep.
Pelvic organ prolapse (POP) is a significant health-care problem for older women. We have treated POP surgically using laparoscopic sacrocolpopexy (LSC) or robotic-assisted sacrocolpopexy (RSC). The original LSC and RSC procedures were done with anterior and posterior meshes; however, the use of the single mesh procedure is increasing because of its simplicity and safety. There have been few reports about the change in quality of life (QOL) using the single mesh procedure. Therefore, the present study aimed to retrospectively evaluate the change in QOL by LSC and RSC using a single anterior mesh for women without posterior compartment prolapse.
We performed LSC or RSC using a single anterior mesh in 52 patients who had POP without posterior vaginal wall prolapse between August 2018 and October 2022. We assessed the QOL before and after surgery using prolapse-QOL (P-QOL) questionnaires.
All patients who received LSC or RSC with a single anterior mesh left the hospital as scheduled without severe perioperative complications. There were no instances of wound infection or vaginal mesh extrusion. The recovery rate of questionnaires was 63.5% (33/52). All QOL score domains improved significantly, and there were no questionnaire parameters that worsened.
LSC or RSC using only a single anterior mesh improves P-QOL with a low incidence of surgical complications for POP patients who did not have posterior vaginal wall prolapse. LSC or RSC with a single anterior mesh may be a prospective new procedure for POP.
盆腔器官脱垂（POP）是老年女性面临的一个重大医疗保健问题。我们采用腹腔镜骶骨阴道固定术（LSC）或机器人辅助骶骨阴道固定术（RSC）对POP进行手术治疗。最初的LSC和RSC手术使用前后补片；然而，由于其操作简单且安全，单补片手术的应用正在增加。关于使用单补片手术对生活质量（QOL）变化的报道很少。因此，本研究旨在回顾性评估对于无后盆腔脱垂的女性，使用单一前补片的LSC和RSC手术对QOL的影响。
2018年8月至2022年10月期间，我们对52例无阴道后壁脱垂的POP患者采用单一前补片进行LSC或RSC手术。我们使用脱垂生活质量（P-QOL）问卷评估手术前后的QOL。
所有接受单一前补片LSC或RSC手术的患者均如期出院，无严重围手术期并发症。没有伤口感染或阴道补片外露的情况。问卷回收率为63.5%（33/52）。所有QOL评分领域均显著改善，且没有问卷参数恶化。
对于无阴道后壁脱垂的POP患者，仅使用单一前补片的LSC或RSC手术可改善P-QOL，手术并发症发生率低。单一前补片的LSC或RSC手术可能是一种有前景的POP新术式。
