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International Urogynecology Journal

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Open Access 01-01-2012 | Original Article

Comparison of short-term outcomes following pelvic reconstruction with Perigee and Apogee systems: hysterectomy or not?

Authors: Li-Ching Chu, Fei-Chi Chuang, Fu-Tsai Kung, Kuan-Hui Huang

Published in: International Urogynecology Journal | Issue 1/2012

Abstract

Introduction and hypothesis

This study aims to compare the surgical outcomes between hysterectomy and uterine preservation in pelvic reconstruction with Perigee® and Apogee® systems for severe pelvic organ prolapse.

Methods

Ninety-one women who have undergone transvaginal pelvic reconstructive surgery with Perigee and Apogee systems for severe pelvic organ prolapse were divided into two groups: hysterectomy (n = 39) and uterine preservation (n = 52). The pre-operative and post-operative assessments include subjective urinary and prolapse symptoms, objective pelvic organ prolapse quantification (POP-Q) system, urodynamic examination, and complications.

Results

The mean follow-up period was 8.9 months (range, 0.9–26.5). There were no anatomical differences between the two groups other than a longer perineal body in the hysterectomy group (3.9 vs. 3.6, p < 0.05) and a longer total vaginal length in the uterine preservation group (8.2 vs. 7.8, p < 0.05). Preservation of uterus has significantly reduced operative time, blood loss, and days of urine indwelling catheter (p < 0.001).

Conclusions

Hysterectomy and uterine preservation have comparable anatomical outcomes and post-operative complications in pelvic reconstruction with Perigee and Apogee systems at short-term follow-up.

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Title: Comparison of short-term outcomes following pelvic reconstruction with Perigee and Apogee systems: hysterectomy or not?
Authors: Li-Ching Chu
Fei-Chi Chuang
Fu-Tsai Kung
Kuan-Hui Huang
Publication date: 01-01-2012
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 1/2012
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-011-1513-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Comparison of short-term outcomes following pelvic reconstruction with Perigee and Apogee systems: hysterectomy or not?

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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