Korean J Obstet Gynecol.  2012 Aug;55(8):564-572. 10.5468/KJOG.2012.55.8.564.

Comparison of perioperative, long-term complications and recurrence rates after vaginal prolapse surgery by considering ICS POP-Q stage

• Jung YS
• Kim SR
• Moon YJ
• Kim SK
• Bai SW

• KMID: 2078106
• DOI: http://doi.org/10.5468/KJOG.2012.55.8.564

Abstract

OBJECTIVE
The aim of this study was to report subjective and objective outcomes and to compare complication and recurrence rate in patients undergoing surgery for International Continence Society (ICS) stage 4 prolapse compared to ICS stage 2 or 3 prolapse.
METHODS
We retrospectively reviewed the records of all patients having had surgical treatment for ICS Pelvic Organ Prolapse Quantification (POP-Q) stage 2-4 prolapse between January 2007 and December 2010 at the Yonsei University Severance Hospital. Only patients with ICS POP-Q stage 2-4 prolpase undergoing obliterative procedures or anti-incontinence surgery only were excluded.
RESULTS
Three hundred ninety nine patients met inclusion criteria, including 23 with stage 2, 239 with stage 3 and 137 with stage 4 prolapse. The postoperative recurrence rate of preoperative stage IV was 2.4 times higher than that of stage III. There was a significantly higher incidence rates of perioperative and long-term complications, compared to women with other stage prolapse. The mean operative time was significantly greater in the stage 4 group compared to the stage 2, 3 group.
CONCLUSION
The overall perioperative complication and recurrence rates in women undergoing surgery for pelvic organ prolapse are low. Women undergoing surgery for ICS POP-Q stage 4 prolapse were found to have a significantly greater blood loss and higher incidence rates of perioperative complications and recurrence, compared with women of other stage.

Keyword

Pelvic organ prolapse; Stage; Postoperative complication; Recurrence

MeSH Terms

Female
Humans
Incidence
Operative Time
Pelvic Organ Prolapse
Postoperative Complications
Prolapse
Recurrence
Retrospective Studies
Uterine Prolapse

Figure

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  Fig. 1 Comparison of operation time according to the types of surgical approach and operation history. OP, operation.

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  Fig. 2 Comparison estimated blood loss according to the types of surgical approach and operation history. OP, operation.

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