Surgical therapies for pelvic flour dysfunction: Report of 70 cases

Objective: To evaluate the efficacy of two procedures for management of pelvic flour dysfunction(PFD).Methods: Of the 70 cases of PFD,25 were performed vaginal hysterectomy plus colporrhaphia anterior-posterior(tradition group) and 45 pelvic flour reconstruction surgery plus transobturator suburethral tape ventrofixation(reconstruction group).The clinical parameters were observed and analyzed.Results: The operation time,blood loss,recovery time of postoperative gastrointestinal function,recovery time of urination and the rate of postoperative diseases were(95.4±20.5) min,(133.2±17.7) ml,(24.5±6.5) min,(34.6±9.4) min,2.22% in the reconstruction group,and(155.7±18.6) min,(305.2±44.7) ml,(46.6±5.8) min,(118.9±8.5) min,12.00% in the tradition group,respectively.There was a significant difference between the two groups(P<0.01).The total effective rates in the reconstruction group and tradition group were 97.78% and 76.00%,respectively.The difference was significant between the two groups(P<0.01).Conclusions: Pelvic flour reconstruction surgery plus transobturator suburethral tape ventrofixation is effective for treatment of PFD,with the advantages of shorter operation time,lower volume of blood loss and less recurrence rate.The technique is easy to master and worth popularizing.