The effectiveness of McCall culdoplasty following vaginal hysterectomy in advanced stages of uterine prolapse
| العنوان: | The effectiveness of McCall culdoplasty following vaginal hysterectomy in advanced stages of uterine prolapse |
|---|---|
| المؤلفون: | Daniel Tairy, Jacob Bar, Ilia Kleiner, Elad Barber, Shimon Ginath |
| المصدر: | International Urogynecology Journal. 32:2143-2148 |
| بيانات النشر: | Springer Science and Business Media LLC, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, 030219 obstetrics & reproductive medicine, Pelvic floor, Exacerbation, business.industry, Urology, 030232 urology & nephrology, Obstetrics and Gynecology, Uterine prolapse, Retrospective cohort study, medicine.disease, McCall culdoplasty, Surgery, 03 medical and health sciences, 0302 clinical medicine, medicine.anatomical_structure, Concomitant, medicine, Vaginal vault, Stage (cooking), business |
| الوصف: | Following vaginal hysterectomy (VH), fixation of the vaginal vault is needed to prevent post-operative recurrence/exacerbation of vault prolapse. The effectiveness of McCall culdoplasty in cases of advanced prolapse is unclear. We aimed to compare the effectiveness of McCall culdoplasty following VH in patients with mild versus advanced stages of uterine prolapse. In this retrospective study, the Pelvic Floor Distress Inventory (PFDI-20) was utilized to compare the subjective results of vaginal hysterectomy plus McCall culdoplasty between women with mild uterine prolapse stage 2 (mild prolapse group) and advanced uterine prolapse stages 3–4 (advanced prolapse group). The primary outcome, the subjective awareness of prolapse, was analyzed as well as all other aspects of PFDI-20. A sample size of 130 was calculated. The mild prolapse group consisted of 26 (19.3%) patients and the advanced prolapse group consisted of 109 (80.7%) patients. There were no differences between the groups in demographic and clinical characteristics. The rates of concomitant prolapse and incontinence surgeries, performed at the time of VH and post-operative complications. were the same between groups. The mean follow-up was more than 5 years in both groups. Awareness of prolapse was similar between the groups (11.5% in the mild prolapse group and 5.5% in the advanced prolapse group, p = 0.374). There was no significant correlation between the stage of apical prolapse before surgery and awareness of prolapse after the surgery (r = 0.0132, p = 0.879). All aspects of the PFDI-20 questionnaire were similar in the two groups. McCall culdoplasty was found to have an equal subjective effectiveness following VH in both mild and advanced stages of uterine prolapse. |
| تدمد: | 1433-3023 0937-3462 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::e5945ad9aef30c9f20d1e1b22a244803 https://doi.org/10.1007/s00192-021-04890-z |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi...........e5945ad9aef30c9f20d1e1b22a244803 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 14333023 09373462 |
|---|