5-years retrospective follow up of the efficacy of pelvic organ prolapse surgery with or without hysterectomy in one medical center in Taiwan
IUGA Academy. Huang C. Jun 30, 2018; 212889; 536 Topic: Pelvic Organ Prolapse
Chun-Chung Huang
Chun-Chung Huang

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536

5-years retrospective follow up of the efficacy of pelvic organ prolapse surgery with or without hysterectomy in one medical center in Taiwan

Huang, C1; Huang, C2; Hwang, TC3; Lin, W2; Lo, C1

1: Department of Biomedical Engineering, National Yang-Ming University, Taipei, Taiwan; 2: Department of Obstetrics and Gynecology, China Medical University Hospital, Taichung, Taiwan; 3: China Medical University Hospital, Taichung, Taiwan

Introduction: Pelvic organ prolapse (POP) is the third most common indication for hysterectomy. Apical support is the cornerstone of prolapse surgery. One factor about this issue is the role of hysterectomy at the time of apical prolapse repair and how patients and physicians may perceive concomitant hysterectomy differently. In this recent 5-years period follow up of mesh and non-mesh patient can give us more evident of justification of mesh role in POP surgery.

Objective: We will be assessing a short-term (5 years) follow up outcomes of patients with or without hysterectomy during the time of pelvic organ prolapse surgery.

Methods: 121 patients between 2011~2015 from a medical center were analyzed according to their age, parity, BMI, hysterectomy, non-hysterectomy, mesh, non-mesh, incontinence status. Assessment of their operation outcomes were compared to their individual pre-operation variables.

Results: Preliminary data showed there was no obvious difference between the prognoses objectively and subjectively. (Data is currently still under analyzing, update will be provided)

Conclusion: Patient-centered medicine is an important element in pelvic organ prolapse surgery, the treatment options offered to each woman suffering from POP should be individualized.

Reference:

  1. Jeppson, Peter C., and Vivian W. Sung. 'Hysterectomy for pelvic organ prolapse: indications and techniques.' Clinical obstetrics and gynecology 57.1 (2014): 72-82.
  2. Geynisman-Tan, Julia, and Kimberly Kenton. 'Surgical Updates in the Treatment of Pelvic Organ Prolapse.' Rambam Maimonides medical journal 8.2 (2017).

Disclosure:

Work supported by industry: no.

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