Treatment results of female pelvic organ prolapse by surgical placement of synthetic vaginal mesh: a prospective study at An Giang Obstetrics and Pediatrics Hospital

Quang Hien Tran

doi:10.18203/2320-1770.ijrcog20241300

Authors

Quang Hien Tran An Giang Department of Health, An Giang, Vietnam; Depatment of Obstetrics and Gynecology, An Giang Women and Children’s Hospital, An Giang, Vietnam

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20241300

Keywords:

Pelvic organ prolapse, Vaginal graft placement, Surgical outcome

Abstract

Background: Pelvic organ prolapse is a common condition in Vietnam. At An Giang obstetrics and pediatrics hospital, vaginal mesh surgery for the treatment of female pelvic organ prolapse has recently been introduced, which is a new technique for the hospital and requires evaluation and research. This study aims to evaluate the treatment results of female pelvic organ prolapse by surgical placement of a synthetic vaginal mesh at An Giang obstetrics and pediatrics hospital in 2020-2021.

Methods: Cross-sectional descriptive and prospective study. All women diagnosed with pelvic organ prolapse stage II or higher according to POP-Q criteria who underwent vaginal mesh placement surgery.

Results: The study results of 47 cases of pelvic fractures showed that the average age of patients was 67 years old. The main anesthesia method was spinal anesthesia, accounting for 91.5%. The average surgery time was 97.1±21.2 minutes. The average blood loss during surgery was 70.2±55.5 ml. The average length of hospital stay was 6.1±1.9 days.

Conclusions: The effectiveness of the surgical method of placing a synthetic vaginal graft for the treatment of female pelvic organ prolapse achieves a success rate of 95.7%. 98% of patients express satisfaction with this surgical method and are enthusiastic about recommending this surgical method to other women.

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References

Conway CK, White SE, Russell R. Pelvic Organ Prolapse: A Review of In Vitro Testing of Pelvic Support Mechanisms. Ochsner J. 2020;20(4):410-8.

Mancinskiene D, Mikenaite M, Barakat M. Quality of life after treatment for pelvic organ prolapse in real-world study: recommendations, vaginal pessary, and surgery. Medicina. 2024;60(4):23-8.

Wang B, Chen Y, Zhu X. Global burden and trends of pelvic organ prolapse associated with aging women: An observational trend study from 1990 to 2019. Front Public Health. 2022;10:975.

Ryan GA, Purandare NC, Ganeriwal SA, Purandare CN. Conservative Management of Pelvic Organ Prolapse: Indian Contribution. J Obstet Gynaecol India. 2021;71(1):3-10.

Vermeulen CKM, Veen J, Adang C, Coolen A, van Leijsen SAL, Bongers MY. Long-term pelvic floor symptoms and urogenital prolapse after hysterectomy. BMC Womens Health. 2023;23(1):115.

Nhi NBM. Evaluation of initial steps in surgical treatment of pelvic organ prolapse with synthetic graft placement at Từ Dũ Hospital. Ho Chi Minh City Med J. 2011;15(2):17-23.

Vinh NT. Evaluation of early surgical outcomes of pelvic floor reconstruction with vaginal mesh placement for female pelvic organ prolapse. Ho Chi Minh City Med J. 2012;16:22-7.

El Kassis N, Atallah D, Moukarzel M. Surgical management of pelvic organ prolapse in women: how to choose the best approach. J Med Liban. 2013; 61(1):36-47.

Geoffrion R, Larouche M. Guideline No. 413: Surgical management of apical pelvic organ prolapse in women. J Obstet Gynaecol Can. 2021;43(4):511-23.

Kenne K, Abreha M, Hart KD, Gregory WT, Nardos R. Surgical Management of Pelvic Organ Prolapse in Ethiopian Women: What Is the Preferred Approach?. Female Pelvic Med Reconstr Surg. 2020;26(2):e7-12.

Maher C, Feiner B, Baessler K, Schmid C. Surgical management of pelvic organ prolapse in women. Cochrane Database Syst Rev. 2013(4):CD4014.