Influence of quality of life after Prolift reconstructive pelvic surgery in patients with pelvic organ prolapse

Objective To observe the influence of Prolift reconstructive pelvic surgery for pelvic organ prolapse(POP) and it′s effect on postoperative pelvic floor function and sexual quality of life.Methods 60 patients with POP from January 2009 to June 2012,were divided into Prolift group and traditional treatment group according to the surgical methods,each group had 30 cases.The efficacy,postoperative pelvic floor dysfunction,simple questionnaires(PFIQ-7),pelvic floor dysfunction questionnaire(PFDI-20) and quality of sex life Questionnaire-31(PISQ-31) were observed in two groups.Results The anatomical cure rate and recurrence rate were 96.67%(29/30) and 3.33%(1 cases) in Prolift group respectively,73.33%(22/30) and 26.99%(8 cases) in traditional treatment group.The efficacy of Prolift group was significantly better compared with the traditional group.The blood loss,postoperative residual urine and indwelling catheter time in Prolift group reduced significantly compared to the traditional group(P 0.05 or P 0.01).The operative time,the highest postoperative hypothermia and postoperative hospital stay were no statistical difference significance(P 0.05).After treatment,the levels of PFDI-20 and PFIQ-7 score reduced significantly than those before treatment(P 0.01),the decreased levels of Prolift group were more significantly obvious compared with the traditional group(P 0.01),while there were no significant change of PISQ-31 score in two groups before and after treatment(P 0.05).In Prolift group the perineum and lower abdomen bulge(χ2 = 4.706,P = 0.030),and urinary incontinence symptoms improved significantly(χ2 = 4.001,P = 0.045) after treatment in Prolift group,there was no significant improvement in symptoms before and after treatment in traditional group,the defecation difficulties showed no change in two groups before and after treatment.Conclusion The efficacy of Prolift pelvic floor reconstruction for anatomical restoration is better,the pelvic floor functional recovery and the patients' subjective satisfaction is better compared with the traditional treatment.