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Clinical and Experimental Obstetrics & Gynecology  2017, Vol. 44 Issue (5): 744-748    DOI: 10.12891/ceog4001.2017
Original Research Previous articles | Next articles
The relevance of fascial surgical repair in the management of pelvic organ prolapse (POP)
F. Nobili1, A. Lukic1, I. Puccica1, M. Vitali1, M. Schimberni1, F. Manzara1, A. Frega1, *(), B. Mossa1, M. Moscarini†1, †, D. Caserta1
1 Surgical and Medical Department of Translational Medicine, Sant’Andrea Hospital, Faculty of Medicine and Psychology, University of Rome “la Sapienza”, Rome, Italy
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Abstract  
Purpose: To evaluate the anatomical and functional outcomes and post-operative compliance of fascial surgical repair in the management of pelvic organ prolapse (POP). Materials and Methods: The authors analyzed 147 patients before and after surgical treatment for POP analyzing pre- and post-operative symptoms. Patients were divided into two groups: group A patients who underwent vaginal hysterectomy, associated with anterior, posterior, and/or both vaginal repair; group B that underwent only anterior and/or posterior surgical vaginal correction. Results: The average time of post-operative hospitalization was significantly longer in group A than in group B (p = 0.019). However group A showed a better outcome in terms of days after surgery regarding post voiding residual <100 cc (p = 0.039). During follow-up, urinary incontinence improved (p= 0.001), whereas pelvic pressure, regular bowel function, and improvement in sexual activity were not significant (p > 0.05). Conclusions: Currently we do not have a surgical procedure which can be considered the best for treating prolapse, so it seems that the best option is a personalized surgery tailored for each patient.
Key words:  Pelvic organ prolapse      Urinary incontinence      POP surgery      POP-Q      Quality of life      Mesh      Hysterectomy      Sexual function     
Published:  10 October 2017     
*Corresponding Author(s):  A. FREGA     E-mail:  antonio.frega@uniroma1.it
About author:  † Contributed equally.

Cite this article: 

F. Nobili, A. Lukic, I. Puccica, M. Vitali, M. Schimberni, F. Manzara, A. Frega, B. Mossa, M. Moscarini, D. Caserta. The relevance of fascial surgical repair in the management of pelvic organ prolapse (POP). Clinical and Experimental Obstetrics & Gynecology, 2017, 44(5): 744-748.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog4001.2017     OR     https://ceog.imrpress.com/EN/Y2017/V44/I5/744

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