Clinical Outcomes in Patients with Advanced Pelvic Prolapse who Underwent Le Fort Surgery or Pessary Placement- A prospective Cohort Study

• Published in: Caspian journal of internal medicine 2022-02, Vol.13 (2), p.405-411
• Main Authors: Elham Gholamian, fedyeh Haghollahi, Samaneh Tarokh, Maryam Hajihashemy, Mamak Shariat
• Format: Article
• Language: English
• Subjects: modified lefort colpocleisis; pelvic floor reconstructive surgery; pelvic organ prolapse
• ISSN: 2008-6164; 2008-6172

Background: The aim of the present study was to compare the six-month results in terms of prolapse symptoms in postmenopausal patients with advanced pelvic prolapse (POP) who underwent LeFort colpocleisis surgery or with pessary placement. Methods: In this prospective cohort study, 110 older women were enrolled from April 2016 to January 2018. The women were diagnosed with stage III or higher genital prolapse according to the POP quantification (POP-Q) system. The patients were divided into two groups: surgical (LeFort colpocleisis surgery; n=55) and non-surgical (pessary placement, n=55). The study population underwent LeFort colpocleisis surgery or pessary placement in two university clinics (Beheshti or Alzahra Hospitals). All patients completed the Pelvic Floor Distress Inventory Questionnaire-20 (PFDI-20). The main short-term outcome measurement (six months) was the manifestation of a pelvic prolapse in the groups. Results: The patients had a mean age of 68.98±8.79 years in the non-surgical group and 64.76±7.04 years in the surgical group. The analytic results showed a significant difference between the two groups (P=0.006). After treatment, the prolapse symptoms improved in both groups (p