Study the results of pelvic floor prolapsed repair in (anterior colporrhaphy with mesh and Sacrospinous ligament suspension) and abdominal approach (Sacrocolpopexy or Hysteropexy)

Abstract

The aim of this study was to evaluate the results of pelvic floor prolapse surgery (anterior colporrhaphy with mesh and sacrospinous ligament suspension) and abdominal approach(sacroclpopaxy or hysteropexy). Materials and Methods:In this interventional study, patients were randomly divided into two groups. The first group underwent pelvic floor prolapse surgery (anterior colporrhaphy with mesh and sacrospinous ligament suspension) and the second group was surgically treated with abdominal (sacroclpopaxy or hysteropexy). Patients' information includes age, number of pregnancies, vaginal delivery or cesarean section, anterior and posterior prolapse, apoptosis prolapse, postoperative hematoma, site infection, postoperative pain, proximal pain, fecal urinary incontinence and anatomical correction The erosion of mesh was recorded based on the Visual Analog Scale (VAS). Results:In the vaginal group with immediate screening mesh (p=0.001), severe urination (p=0.031), dysporine (p=0.001), stool mismatch (p=0.023) and non stress persistence (p=0.001). Was more than abdominal (sacrocolupoxia) group and there was a significant difference between the two groups. The frequency of postoperative pain in the vaginal group with mesh was 16% and in the abdominal group (sacrocolpopaxia) was 2% (p=0.001). Anatomical improvement was observed in the abdominal (sacroculpopaxia) group with a frequency of 86% greater than that of the vaginal group with a frequency of 64% (p=0.001).