Comparision of the effect of Prolift pelvic reconstructive approach and traditional surgery for the treatment of pelvic organ prolapse

Objective To compare the curative effect and complications of traditional surgery and Prolift pelvic reconstructive approach fot the treatment of pelvic organ prolapse.Methods Data of 65patients with pelvic organ prolapse(POP-Q stage ofⅢ degree)who underwent surgery in the Third Affiliated Hospital of Zhengzhou University from August 2011to September 2012were retrospective analyzed.Among them 35received Prolift system(research group)and 30underwent routine traditional surgery(control group).The operation time,blood loss,residual urine volume,length of hospital stay of two groups were compared.Results The operation time,blood loss, residual urine volume,postoperative hospital stay were(68.48 ±15.65)min,(127.60 ±30.21)ml,(37.25 ± 23.40)ml,(6.11±1.62)d in the research group and were(93.83 ±15.12)min,(150.40 ±35.81)ml,(52.33± 36.30)ml and(7.23 ±1.43)d in the control group,the differences had statistical significance(P0.05); The postoperative vaginal total length(TVL)was(9.75±1.52)cm in research group which was significant longer than that in control group(6.40±1.61)cm(P0.05).C point measurement value comparison,similar between the two groups have statistical significance(P0.05).The rest of the POP-Q indexing instructions point had no significant difference between the two groups(P0.05).After 4~12 months follow-up,there were 2cases(5.71%,2/35)of mesh exposure in the research group;3 cases of recurrence occurred in control group(10.71%,3/28).Conclusion Compared with the traditional surgery,pelvic reconstructive with mesh kit has the advantages of small trauma,less bleeding,faster recovery and better curative effect but the long-term complications,such as mesh exposure need further follow-up study.