Analysis of the Outcomes of Vaginal Hysterectomy and Pelvic Floor Repair Using Pop-Q Classification

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 ProlapseQuantification (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.