Naslov
. Outcomes and patient satisfaction in women undergoing three different operating techniques for pelvic organ prolapse – a pilot study.

Autori
Kalafatić, Držislav ; Orešković, Slavko ; Miškulin, Iva ; Škrgatić, Lana

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Skup
Better Future for Healthy aging 2020

Mjesto i datum
Online, 03.06.2020. - 05.06.2020

Vrsta sudjelovanja
Poster

Vrsta recenzije
Recenziran

Ključne riječi
pelvic organ prolapse, mesh
(pelvic organe prolapse, mesh)

Sažetak
Introduction and Objectives: There are different methods for surgical management of pelvic organ prolapse. Surgical treatment includes vaginal native tissue repair, vaginal augmentation with mesh, and laparoscopic approach. The aim of this pilot study was to compare outcomes and patient satisfaction between three different operating techniques in a single hospital centre. Methods: A retrospective cohort study included total of 60 women who underwent surgery for apical and anterior prolapse. They were divided into three equal groups according to operating technique: vaginal native tissue repair (N=20), vaginal augmentation with mesh (N=20) and laparoscopic lateral suspension with mesh (N=20). Data collected included baseline patients characteristic (age, BMI, menopausal status, prior surgery), intra and perioperative variables (operative time, hospital stay, haemorrhage, wound infection, urinary complications) and six month follow up outcomes (recurrent prolapse, dyspareunia, de novo urinary incontinence or urgency, patient satisfaction calculated on scale 1-10). Results: Baseline characteristics of women included were similar. The mean operating time was significantly longer in the laparoscopic lateral suspension group (95 min) when compared with other two groups (p < 0.01). Nevertheless, hospital stay was shorter in aforementioned group (p<0.001). Further perioperative complications were rare and comparable between the groups. During the six-month follow-up period, no prolapse recurrence and mesh erosion were observed in any group. De novo stress urinary incontinence and urgency were infrequently observed and comparable between the groups. Overall satisfaction was higher in laparoscopic lateral suspension group (p<0.05). Conclusion: No difference is found in complication rates and short- term outcomes between three different surgical techniques for apical and anterior prolapse. Nevertheless, shorter hospital stay as well as higher overall satisfaction confirms laparoscopic lateral suspension as a promising endoscopic prolapse surgery technique. Future prospective studies with larger sample sizes demonstrating the long- term outcomes are warranted to confirm these conclusions.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA