Surgical outcomes of pelvic organ prolapse and the influencing factors
Objective To analyze the surgical outcomes of pelvic organ prolapse(POP)and the influencing factors.Methods We retrospectively analyzed 150 POP patients who were treated in our hospital from February 2019 to February 2022.Preoperative symptoms,relief of postoperative symptoms,the Pelvic Organ Prolapse Quantification System(POP-Q),quality of life in POP,urinary retention and surgical outcome were observed.Influencing factors of surgical outcome of POP were analyzed.Results Compared with those of preoperative data,the incidences of postoperative frequent urination,urgency,and lower abdominal pain were significantly reduced in POP patients(P＜0.05).Compared with those of preoperative data,the proportion of patients with postoperative POP-Q 0,Ⅰ °,and Ⅱ° significantly increased,while the proportion of patients with postoperative POP-Q Ⅲ° and Ⅳ ° significantly decreased(P＜0.05).Compared with preoperative findings,scores of postoperative emotions,roles,severity of prolapse,living conditions,physical strength,personal relationships,social interaction,sleep quality,and health status were significantly reduced(P＜0.05).Totally 22(14.67％)patients had postoperative urinary retention.A total of 130(86.67％)patients had a good treatment effect,and 20(13.33％)had a poor treatment effect.Univariate analysis showed that the poor surgical outcome in POP patients was not correlated with hypertension,diabetes,parity,pregnancy,uterus preservation,postoperative arrhythmia,education,and marital status(P＞0.05).Age ≥ 60 years,body mass index(BMI)≥25kg/m2,course of disease≥3 years,prolapse position of anterior pelvis,length of vaginal wall 5cm,preoperative POP-Q Ⅳ°,postoperative infection and urinary retention were significantly correlated with the poor surgical outcome of POP(P＜0.05).Taking the postoperative outcome of POP as the dependent variable(good treatment effect=0;poor treatment effect=1),variables with significant differences in the univariate analysis were introduced into the multivariate logistic regression analysis.The results showed that age,BMI,course of disease,prolapse site,postoperative vaginal wall length,POP-Q preoperative graduation,postoperative infection,and urinary retention were the risk factors for the surgical outcome of POP(P＜0.05).Conclusion Surgical procedures alleviate clinical symptoms of POP,improve the quality of life and reduce the degree of POP.The surgical outcome is influenced by age,BMI,course of disease,prolapse site,postoperative vaginal wall length,POP-Q preoperative grading,postoperative coinfection,and urinary retention.Targeted interventions based on the risk factors can improve the clinical treatment effect and promote the recovery.
pelvic organ prolapseurinary retentionpelvic floor muscle strengthtreatment effect
NETL
NSTL
万方数据
维普
