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Archives of Gynecology and Obstetrics
Erschienen in: Archives of Gynecology and Obstetrics 6/2012

01.06.2012 | General Gynecology

A modified anterior compartment reconstruction and Prolift-a for the treatment of anterior pelvic organ prolapse: a non-inferiority study

verfasst von: Xiang Yang, Huaifang Li

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 6/2012

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Abstract

Objective

To evaluate, in terms of efficacy and safety, a modified anterior compartment reconstruction procedure for anterior pelvic organ prolapse (POP).

Methods

The patients were assigned to two groups according to their individual willingness and economical condition, of whom 68 were treated with the modified procedure and 37 with the ‘Prolift-a’ procedure. The objective cure rate was defined by 0 or I according to POP-Q, which was detected by non-inferiority test between the two groups.

Results

The cure rates were found to be 94.1% (64/68) in the modified group and 97.3% (36/37) in the Prolift-a group, respectively. No significant difference was found between these two groups in the cure rate by non-inferiority test (u = 2.252, P = 0.012). The blood loss and hospitalization costs were significantly lower in the modified group than the Prolift-a group (P < 0.05), while other clinical parameters showed no significant difference between the two groups (P > 0.05).

Conclusion

Both the modified total pelvic reconstruction and Prolift-a operations are safe, efficacious and minimally invasive surgical treatments, while the modified procedure is relatively inexpensive, which has great perspective of clinical application in developing countries.
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Metadaten
Titel
A modified anterior compartment reconstruction and Prolift-a for the treatment of anterior pelvic organ prolapse: a non-inferiority study
verfasst von
Xiang Yang
Huaifang Li
Publikationsdatum
01.06.2012
Verlag
Springer-Verlag
Erschienen in
Archives of Gynecology and Obstetrics / Ausgabe 6/2012
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-011-2200-7

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