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Category: Volume 09 Issue 02 February 2021
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Title: Analysis of the Outcomes of Vaginal Hysterectomy and Pelvic Floor Repair Using Pop-Q Classification

Authors: Kavya Sudha G, Satyabhama Marandi, Gangadhar Sahoo

 DOI: https://dx.doi.org/10.18535/jmscr/v9i2.18

Abstract

Aims and Objective:  To assess the relief of symptoms and analyse the surgical outcomes of women with pelvic organ prolapse (POP)

Material and Methods: A total of 100 women participated in the study. 17 patients were excluded as they were lost to follow-up and the data from the remaining 83 patients was analysed. Vaginal hysterectomy was done in all cases. Site specific repair was done according to the defect present. Patients were followed post operatively with regard to symptom relief and anatomical correction was analysed at 6 months using Pelvic Organ Prolapse-Quantification (POP-Q) System.

Results: The highest incidence of POP was between 61 to 70 years of age and in multiparous women with parity more than 4. 67.47% had stage III prolapse when measured using the POPQ classification. Vaginal bulge was the commonest complaint seen in 95.18% of the patients. Low back ache was The least relieved symptom at follow-up. However, the improvement of all symptoms was significant (p value<0.05). The mean length of Point Ba preoperatively was +0.67 (Range: -3 to +6, SD: 2.46) and postoperatively was -2.79 (Range: +2 to +3, SD: 0.78). The mean length of Point Bp preoperatively was +1.11 (Range: -3 to +5, SD: 2.38) and postoperatively was -2.76 (Range: +4 to -3, SD: 0.96). The mean length of point C preoperatively was -2.43 (Range: -8.5 to +10, SD: 5.17) and postoperatively was -7.93 (Range: -4 to -10, SD: 2.54). There was significant anatomical restoration of all POP-Q parameters postoperatively (p-value<0.05).

Conclusion: There is significant anatomical restoration and symptom relief after surgery.

Keywords: Pelvic organ prolapse, Pelvic organ prolapse quantification.

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Corresponding Author

Satyabhama Marandi

Professor, Dept of Obstetrics and Gynaecology, IMS and SUM Hospital, Bhubaneswar, India