2021 Volume 17 Issue 1 Pages 65-69
BACKGROUND/PURPOSE: There are two prevalent approaches when it comes to surgery for pelvic organ prolapse. One method uses mesh and the other is non-mesh(Native Tissue Repair: NTR). Typically, patients who undergo NTR return to their original state more easily, compared to mesh surgery. Here, we consider factors regarding recurrence rates in vaginal hysterectomy and in colporrhaphy, one kind of NTR.
METHOD: Between January 2017 and September 2018, medical records of 91women receiving non-mesh surgery (trans vaginal hysterectomy, anterior and posterior vaginal wall formation, McCall) were reviewed. The they were then followed for
12-24 months.
RESULTS: The recurrence rate over POP-Q stage3 was 11.3% (9 cases) out of 80 cases. Three cases( 3.8%) required re operation. When we compared the two groups (recurrence and non-recurrence), there was no between-group difference in age, Body Mass Index (BMI), operation time, blood loss, nor specimen weight. In the pre-operative POP-Q stage, the stage 4 group had a higher recurrence rate compared with stage 3. Regarding Aa, Ba, and C points, there were no between-group difference. However, Ap, Bp, and D points in the recurrence group were larger than that in the non-recurrence group. It seems that serious pelvic organ prolapse was the leading recurrence factor.
CONCLUSION: Serious pelvic organ prolapse was determined to be the leading factor for recurrence after vaginal non mesh surgery. Therefore, regarding serious prolapse, we recommend serious consideration of other methods, along with the standard procedures.
