The effect evaluation of the modified pelvic reconstructive surgery for severe pelvic organ prolapse

Objective To evaluate the efficacy of the modified pelvic reconstructive surgery for severe pelvic organ prolapse. Methods Between Nov. 2006 and Oct. 2008,207 patients of pelvic organ prolapse quantitative for the uterine prolapse Ⅲ~Ⅳ degrees with different levels of vaginal prolapse in the Maternity and Child Healthcare Hospital of Jangxi Province were randomly divided into two groups,105 patients were treated with modified pelvic reconstructive surgery (the PRS group),102 patients underwent total vaginal hysterectomy and colporrhaphy (the vaginal hysterectomy group),intra-operative blood loss,operating time and post-operative hospital stay were compared,patients were assessed objectively (according to pelvic organ prolapse quantitative examination score) and subjectively (pelvic organ prolapse quality of life score). Results Mean intra-operative blood loss,mean operating time and mean post-operative hospital stay was (90.56±46.41)mL,(75.28±21.87)min,(4.6±1.73)d in the PRS group,and (98.84± 36.89) mL,(75.55±20.22)min,(5.33±1.35)d in the vaginal hysterectomy group respectively,Mean intra-operative blood loss and mean operating time are less in the PRS group than in the vaginal hysterectomy group,but no significant difference existed (P0.05),mean postoperative hospital stay is significantly less in the PRS group (P0.05); the cure rates in the PRS group were respectively 94.12%,95.65% and 92.86% followed up at 3 months,6 months and 1 year after the operation,the vaginal hysterectomy group was 93.88%,88.89%,77.61%,no significant difference existed at 3 months and 6 months after the operation (P0.05),significant difference existed 1 year after the operation(P0.05).Conclusion Modified pelvic reconstructive surgery for treatment of severe pelvic organ prolapse can restore and strengthen the structure and function of pelvic floor support as well as uterine preservation;the surgery present good effect on improving the short term quality of life,the long-term effect need further follow-up.