Individual approach in surgical treatment of genital prolapse in women: comparative analysis of methods and treatment results
DOI:
https://doi.org/10.37800/RM.4.2024.432Keywords:
genital prolapse, vaginal hysterectomy, laparoscopic surgery, quality of life, individualized approach, relapses, complicationsAbstract
Abstract
Relevance.
Pelvic organ prolapse is a common condition among peri- and postmenopausal women, significantly impairing their quality of life. Modern surgical methods, such as vaginal hysterectomy and laparoscopically assisted vaginal hysterectomy, have proven their effectiveness. However, the recurrence and complication rates associated with standard approaches highlight the need for individualized treatments considering anatomical, age-related, and social factors.
Objective.
To explore the benefits of an individualized approach to the surgical treatment of pelvic organ prolapse in peri- and postmenopausal women and to conduct a comparative analysis of two surgical correction methods.
Methods.
The study included 195 patients with stage III-IV pelvic organ prolapse. A comparative analysis of vaginal hysterectomy and laparoscopically assisted vaginal hysterectomy with pelvic floor repair was performed. Key parameters assessed included operation duration, blood loss levels, complication rates, patient quality of life at 1, 3, and 6 months post-treatment, and recurrence rates. Statistical analysis was conducted using descriptive and comparative statistical methods.
Results.
Laparoscopically assisted vaginal hysterectomy demonstrated higher effectiveness compared to vaginal hysterectomy, including lower recurrence rates (5% versus 10%) and improved quality of life at 6 months post-treatment (self-assessment score of 4.0 versus 3.5). However, the LAVH method was associated with longer operation times and higher blood loss levels. Complications were observed in 5% of cases after LAVH and were absent in the VH group.
Conclusion.
An individualized approach to the treatment of pelvic organ prolapse enhances the effectiveness of surgical interventions, reduces recurrence rates, and improves patient quality of life. Laparoscopically assisted methods are recommended for patients at higher risk of complications or recurrence, despite their greater complexity.
Keywords: genital prolapse, vaginal hysterectomy, laparoscopic surgery, quality of life, individualized approach, relapses, complications.
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