Abstract:
Objective To explore the curative effect of vaginal anterior and posterior wall repair combined with vaginal hysterectomy on moderate and severe uterine prolapse and its influence on sexual function.
Methods From August 2014 to August 2018, 60 patients with moderate and severe uterine prolapse who were hospitalized and operated in our hospital were randomly divided into the observation group and the control group, 30 cases in each group. The observation group underwent vaginal hysterectomy plus anterior and posterior vaginal wall repair, and the control group underwent simple anterior and posterior vaginal wall repair. The perioperative clinical indicators, postoperative complications, and recurrence were compared between the two groups. Pelvic organs were used. The prolapse/urinary incontinence sexual function questionnaire (PISQ-12) was used to compare the sexual function of the two groups before and after 6 months of follow-up.
Results The average operation time, anal exhaust time, and length of stay in the observation group were significantly shorter than those in the control group. The intraoperative blood loss in the observation group was less than that in the control group (P<0.05). There was no statistical difference (P>0.05); the cure rate in the observation group was 90.00%, and the improvement rate was 10.00%, which was higher than 80.00% and 3.33% in the control group. The recurrence rate in the observation group was 16.67%, which was lower than 0 in the control group. % (P<0.05); the PISQ-12 score of the observation group after the 6-month follow-up was (35.12±3.37) points, which was lower than the control group (38.83±5.62) points (P<0.05).
Conclusion The clinical effect of vaginal hysterectomy combined with repair of anterior and posterior wall of vagina in the treatment of moderate and severe uterine prolapse is ideal. Compared with simple vaginal hysterectomy, it can significantly shorten the operation time, reduce intraoperative bleeding, improve the operation effect and reduce the recurrence rate, but it has no significant advantage in improving the sexual function.
Key words:
Prolapse of uterus,
Vaginal hysterectomy,
Repair of anterior and posterior wall of vagina,
Sexual function
Jiajia Wang. Effect of repair of anterior and posterior vaginal wall combined with total vaginal hysterectomy on moderate and severe uterine prolapse and its sexual function[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2020, 14(01): 67-70.