Comparison of the Efficiency of Posterior Intravaginal Sling (PIVS) Procedure in Older and Younger Groups
Published: July 1, 2016 | DOI: https://doi.org/10.7860/JCDR/2016/.8104
Tolgay Tuyan Ilhan, Akin Sivaslioglu, Türkan Ilhan, Mustafa Gazi Uçar, Ismail Dolen
1. Assistant Professor, Department of Obstetrics and Gynecology, Selcuk University, Konya, Turkey.
2. Associate Professor, Katip Celebi University, Ataturk Training and Research Hospital, Obstetrics and Gynecology Clinics, Izmir, Turkey.
3. Assistant Professor, Beyhekim StateHospital, Konya,Turkey.
4. Assistant Professor, Department of Obstetrics and Gynecology, Selcuk University, Konya, Turkey.
5. Associate Professor, Etlik Zubeyde Hanim Women’s and Maternity Research and Training Hospital, Ankara, Turkey.
Correspondence Address :
Dr. TolgayTuyan Ilhan,
University of Selcuk, Konya, Turkey.
E-mail: tolgaytuyan@yahoo.com
Abstract
Introduction: Vaginal vault prolapsus is a challenging problem for the patients and physicians. There may be differences between young and elderly patients in terms of efficiency and safety of surgical procedures.
Aim: The aim of our study was to compare the efficiency of the Posterior Intravaginal Sling (PIVS) procedure in older versus younger patient groups.
Materials and Methods: A total of 40 patients who underwent the PIVS procedure were chosen. Twenty of these patients were younger than 60 years of age (Group I) while the other 20 patients were 60 years of age or older (Group II). Preoperative Pelvic Organ Prolapsed Quantification (POP-Q) reference points were compared with postoperative data at the first year following surgery. Student’s t-test was used to analyse continuous variables and the ?2 test was used to analyse categorical data. The Mann–Whitney test was used for data that were not normally distributed.
Results: Anatomical cure rates were 90 percent in both groups (p=1.00). There were significantly greater improvements in POP-Q points in group I than group II.
Conclusion: It could be concluded that PIVS as minimally invasive procedure for vaginal vault prolapsed and is effective in all age groups.
Keywords
Pelvic organ prolapsus, Risk factor for recurrence prolapsus, Vaginal vault prolapsus