Outcomes of vaginal hysterectomy and constricting colporrhaphy with concurrent levator myorrhaphy and high perineorrhaphy in women older than 75 years of age

Figures & data

Figure 1 A patient with stage 4 pelvic organ prolapse.

Figure 2 Flowchart of the study.

Note: ^aSacrospinous fixation, sacrocolpopexy, or high uterosacral ligament suspension with or without hysterectomy.

Figure 3 The same patient of Figure 1 after the vaginal introital epithelium was approximated with an absorbable running suture, leaving the resultant genital hiatus of about 1 cm in length.

Table 1 Clinical and demographic characteristics of the patients

Characteristics	Study group (n=54)
Age (years)	79.7±2.6 (95% CI, 79.04–80.51)
Body mass index (kg/m^2)	29.14±3.16 (95% CI, 28.28–30.01)
Parity	3.51±1.55 (95% CI, 3.09–3.94)
Smoking status	3 (6%)
Hypertension	19 (35%)
Diabetes mellitus	12 (22%)
Preoperative stage of prolapse
II	15 (28%)
III	28 (52%)
IV	11 (20%)
Operation time (minute)	129.6±11.9 (95% CI, 126.38–132.87)
Associated anti-incontinence surgery	17 (31%)
Hospital stay (days)	3.48±1.02 (95% CI, 3.20–3.76)
Follow-up times (months)	24.42±9.81 (95% CI, 21.7–27.1)

Note: Data are expressed as mean ± standard deviation (95% CI) or n (%).

Abbreviation: CI, confidence interval.

Table 2 Intraoperative and postoperative complications

	n (%)
Intraoperative complications
Bladder injury	1 (2%)
Postoperative complications
Voiding difficulty	3 (6%)
De novo urge incontinence	4 (7%)
De novo stress urinary incontinence	2 (4%)

Table 3 Questionnaire outcomes

PFDI
Pelvic Organ Prolapse Distress Inventory scores (range 0–100), median (IQR)	(0–25) 14.7
Colorectal–Anal Distress Inventory scores (range 0–100), median (IQR)	(0–26.4) 5.1
Urinary Distress Inventory scores (range 0–100), median (IQR)	(3.6–27.1) 14.3
PFDI total scores (range 0–100), median (IQR)	(9.8–68.3) 29.6
Decision Regret Scale–Pelvic Floor Disorder scores, mean (SD)	(0.51) 1.23
Satisfaction Decision Scale–Pelvic Floor Disorder scores, mean (SD)	(0.47) 4.82

Abbreviations: IQR, interquartile range; PFDI, Pelvic Floor Distress Inventory; SD, standard deviation.