Original ArticleAnatomic and Functional Outcomes with the Prolift Procedure in Elderly Women with Advanced Pelvic Organ Prolapse Who Desire Uterine Preservation
Section snippets
Materials and Methods
In this study, we reviewed the outcomes of women more than 70 years of age with advanced POP who underwent transvaginal pelvic floor repair with a total Prolift (Ethicon, Inc., Somerville, NJ) procedure at the Chonnam National University Hospital, Gwangju, South Korea. Sixty-eight women with a minimum of 2 years of follow-up were included. This is a single-center case series with data, including age, body mass index, personal history, POP staging, and perioperative surgical complications,
Results
The preoperative patient characteristics are presented in Table 1. The mean age was 74.9 ± 3.10 (95% CI, 73.91–75.89), and the mean parity was 4.2 ± 1.60 (95% CI, 3.69–4.71). Sixty-three women (92.6%) had no previous hormonal treatment. The preoperative POP-Q stage was III in 59 (86.8%) and IV in 9 (13.2%). The length of follow-up ranged from 24 to 34 months. All of the patients underwent a total Prolift procedure. The mean operative time was 74.8 ± 14.94 (95% CI, 70.02–79.58) minutes. General
Discussion
Surgical treatment of POP in elderly women is troublesome because of their frequent comorbidities. Therefore, the ideal operative treatment for elderly women is likely to be a method with a short operation time, minimal invasiveness, a low recurrence rate, and fewer complications. Although colpocleisis or the Lefort operation may be more appropriate, these operations are only used in a limited subset of patients.
The traditional surgical treatment for POP has been vaginal hysterectomy. This
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The authors declare that they have no conflict of interest.