Effects of Prolift total pelvic floor reconstruction combined with transvaginal sacrospinous ligament suspension in treatment of patients with uterine prolapse
Objective:To observe effects of Prolift total pelvic floor reconstruction combined with transvaginal sacrospinous ligament suspension in treatment of patients with uterine prolapse.Methods:A prospective study was conducted on 166 patients with uterine prolapse admitted to this hospital from June 2020 to January 2023.According to the random number table method,they were divided into study group and control group,83 cases in each group.The control group was treated with transvaginal sacrospinous ligament suspension,while the study group was treated with Prolift total pelvic floor reconstruction on the basis of that of the control group.The perioperative indexes(operation time,intraoperative blood loss,postoperative spontaneous urination time)levels,the pelvic floor function[pelvic floor disorder impact questionnaire-7(PFIQ-7),pelvic floor dysfunction inventory(PFDI-20)]scores before and 3 months after the surgery,the bladder function indexes(residual urine volume,maximum urinary flow rate,maximum urethral pressure)levels,the 1-year operation success rate,and the incidence of complications were compared between the two groups.Results:The operation time of the study group was longer than that of the control group,and the difference was statistically significant(P<0.05).3 months after the surgery,the scores of PFIQ-7 and PFDI-20 in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).3 months after the surgery,the residual urine volume in the study group was less than that in the control group,the maximum urinary flow rate and the maximum urethral pressure level were higher than those in the control group,and the differences were statistically significant(P<0.05).The 1-year operation success rate in the study group was 96.39%(80/83),which was higher than 87.95%(73/83)in the control group,and the difference was statistically significant(P<0.05).However,there were no significant differences in the intraoperative blood loss,the postoperative spontaneous urination time and the incidence of complications between the two groups(P>0.05).Conclusions:Prolift total pelvic floor reconstruction combined with transvaginal sacrospinous ligament suspension in the treatment of uterine prolapse can reduce the pelvic floor function scores,improve the levels of bladder function indexes,and improve the 1-year operation success rate.Moreover,it is superior to single transvaginal sacrospinous ligament suspension,but it will prolong the operation time.
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