Tolgay Tuyan Ilhan1, Akin Sivaslioglu2, Türkan Ilhan3, Mustafa Gazi Uçar1, İsmail Dolen4. 1. Assistant Professor, Department of Obstetrics and Gynecology, Selcuk University , Konya, Turkey . 2. Associate Professor, Katip Celebi University, Ataturk Training and Research Hospital, Obstetrics and Gynecology Clinics , Izmir, Turkey . 3. Assistant Professor, Beyhekim State Hospital , Konya, Turkey . 4. Associate Professor, Etlik Zubeyde Hanım Women's and Maternity Research and Training Hospital , Ankara, Turkey .
Abstract
INTRODUCTION: Vaginal vault prolapsus is a challenging problem for the patients and physicians. There may be differences between young and elderly patients in terms of efficiency and safety of surgical procedures. AIM: The aim of our study was to compare the efficiency of the Posterior Intravaginal Sling (PIVS) procedure in older versus younger patient groups. MATERIALS AND METHODS: A total of 40 patients who underwent the PIVS procedure were chosen. Twenty of these patients were younger than 60 years of age (Group I) while the other 20 patients were 60 years of age or older (Group II). Preoperative Pelvic Organ Prolapsed Quantification (POP-Q) reference points were compared with postoperative data at the first year following surgery. Student's t-test was used to analyse continuous variables and the χ(2) test was used to analyse categorical data. The Mann-Whitney test was used for data that were not normally distributed. RESULTS: Anatomical cure rates were 90 percent in both groups (p=1.00). There were significantly greater improvements in POP-Q points in group I than group II. CONCLUSION: It could be concluded that PIVS as minimally invasive procedure for vaginal vault prolapsed and is effective in all age groups.
INTRODUCTION: Vaginal vault prolapsus is a challenging problem for the patients and physicians. There may be differences between young and elderly patients in terms of efficiency and safety of surgical procedures. AIM: The aim of our study was to compare the efficiency of the Posterior Intravaginal Sling (PIVS) procedure in older versus younger patient groups. MATERIALS AND METHODS: A total of 40 patients who underwent the PIVS procedure were chosen. Twenty of these patients were younger than 60 years of age (Group I) while the other 20 patients were 60 years of age or older (Group II). Preoperative Pelvic Organ Prolapsed Quantification (POP-Q) reference points were compared with postoperative data at the first year following surgery. Student's t-test was used to analyse continuous variables and the χ(2) test was used to analyse categorical data. The Mann-Whitney test was used for data that were not normally distributed. RESULTS: Anatomical cure rates were 90 percent in both groups (p=1.00). There were significantly greater improvements in POP-Q points in group I than group II. CONCLUSION: It could be concluded that PIVS as minimally invasive procedure for vaginal vault prolapsed and is effective in all age groups.
Entities:
Keywords:
Pelvic organ prolapsus; Risk factor for recurrence prolapsus; Vaginal vault prolapsus
Authors: R C Bump; A Mattiasson; K Bø; L P Brubaker; J O DeLancey; P Klarskov; B L Shull; A R Smith Journal: Am J Obstet Gynecol Date: 1996-07 Impact factor: 8.661
Authors: Ahmet Akin Sivaslioglu; Orhan Gelisen; Ismail Dolen; Hulya Dede; Serdar Dilbaz; Ali Haberal Journal: Aust N Z J Obstet Gynaecol Date: 2005-04 Impact factor: 2.100
Authors: Myung Jae Jeon; Sue Min Chung; Hyun Joo Jung; Sei Kwang Kim; Sang Wook Bai Journal: Gynecol Obstet Invest Date: 2008-08-06 Impact factor: 2.031
Authors: Bela I Kudish; Cheryl B Iglesia; Robert J Sokol; Barbara Cochrane; Holly E Richter; Joseph Larson; Susan L Hendrix; Barbara V Howard Journal: Obstet Gynecol Date: 2009-01 Impact factor: 7.661