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Obstet Gynecol Sci > Volume 55(8); 2012 > Article
Korean Journal of Obstetrics & Gynecology 2012;55(8):564-572.
DOI: https://doi.org/10.5468/KJOG.2012.55.8.564    Published online August 17, 2012.
Comparison of perioperative, long-term complications and recurrence rates after vaginal prolapse surgery by considering ICS POP-Q stage.
Yeon Soo Jung, Soo Rim Kim, Yeo Jung Moon, Sei Kwang Kim, Sang Wook Bai
1Department of Obstetrics and Gynecology, Institute of Women's Life Medical Science, Yonsei University College of Medicine, Seoul, Korea. swbai@yuhs.ac
2Department of Pharmacology, Yonsei University College of Medicine, Seoul, Korea.
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.
Key Words: Pelvic organ prolapse, Stage, Postoperative complication, Recurrence
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