Anatomical and Functional Outcomes of Posterior Intravaginal Slingplasty for the Treatment of Vaginal Vault or Uterine Prolapse: A Prospective, Multicenter Study
이영숙, 김준철, 주명수, 이규성, 이지열, 한덕현,
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이영숙 ( Lee Young-Suk )
성균관대학교 의과대학 비뇨기과학교실
김준철 ( Kim Joon-Chul )
가톨릭대학교 의과대학 비뇨기과학교실
주명수 ( Choo Myung-Soo )
울산대학교 의과대학 서울아산병원 비뇨기과학교실
이규성 ( Lee Kyu-Sung )
성균관대학교 의과대학 삼성서울병원 비뇨기과학교실
이지열 ( Lee Ji-Youl )
가톨릭대학교 의과대학 성가병원 비뇨기과학교실
한덕현 ( Han Deok-Hyun )
성균관대학교 의과대학 삼성서울병원 비뇨기과학교실
KMID : 0358320100510030187
Abstract
Purpose: We aimed to evaluate the anatomical and functional outcomes of posterior intravaginal slingplasty (P-IVS) for the treatment of a vaginal vault or uterine prolapse (VP/UP).
Materials and Methods: This was a 12-month prospective, multicenter, observational study. Women aged over 30 years who presented with stage II or greater VP/UP underwent P-IVS by four urologists at four university hospitals. Preoperatively, pelvic examination by use of the Pelvic Organ Prolapse Quantification (POP-Q) system, the Pelvic Floor Distress Inventory (PFDI) questionnaire, the 3-day frequency volume chart, and uroflowmetry were completed. At the 12-month follow-up, changes in the POP-Q, PFDI, frequency volume chart, and uroflowmetry parameters were assessed. Cure was defined as VP/UP stage 0 and improvement as stage I.
Results: The cure and improvement rates among the 32 women were 65.6% and 34.4%, respectively. All subscale scores of the Urinary Distress Inventory, the general subscale score of the Pelvic Organ Prolapse Distress Inventory, and the rectal prolapse subscale score of the Colo-Rectal-Anal Distress Inventory were significantly improved. There were no significant changes in the frequency volume chart or uroflowmetry parameters. There was one case of surgery-related transfusion.
Conclusions: Trans-vaginal repair by P-IVS is an effective and safe procedure for restoring the anatomical defect and improving the associated pelvic floor symptoms in women with VP/UP.
키워드
Prospective studies;Treatment outcome;Pelvic organ prolapse
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