Study of Long-term Outcome after Surgery for 52 Cases of Prolapsus Uteri

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  • MATSUDA Hajime
    Department of Obstetrics and Gynecology, Kyorin University School of Medicine
  • YOSHINAGA Akari
    Department of Obstetrics and Gynecology, Kyorin University School of Medicine
  • SHIRADO Mitsue
    Department of Obstetrics and Gynecology, Kyorin University School of Medicine
  • YAMAUCHI Itaru
    Department of Obstetrics and Gynecology, Kyorin University School of Medicine
  • TAKAHASHI Koichi
    Department of Obstetrics and Gynecology, Kyorin University School of Medicine
  • NAKAMURA Yukio
    Department of Obstetrics and Gynecology, Kyorin University School of Medicine
  • SUZUKI Masahiko
    Department of Obstetrics and Gynecology, Kyorin University School of Medicine

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  • 子宮脱手術症例52例の術後長期予後に関する検討

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In our institution, prolapsus uteri is treated mainly by vaginal total hysterectomy and colporrhaphia anterior and posterior. In this study, we surveyed 52 patients who had undergone such surgery regarding the long-term postoperative outcome. Forty three women responded. Thirty seven patients stated that the prolapsus had improved. Although there were 6 recurrences, some were very mild: Among the 36 patients with urinary disorders, 29 noted improvement. The remaining 7 were incontinent postoperatively, but in 5 cases this problem resolved without treatment. Three patients suffered stress incontinence for the first time after surgery. Among the 6 patients with preoperative sexual dysfunction, 2 reported postoperative improvement and 2 reported persistence of the dysfunction. Two patients failed to answer the items pertaining to sexual function. Two patients with normal preoperative sexual function developed sexual difficulty after surgery. Although the postoperative outcome was good in the majority of cases, the occasional persistence or postoperative development of incontinence and sexual dysfunction, as well as recurrent prolapsus, indicate that further improvement in surgical techniques is warranted.

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