Manometric Comparison of Anorectal Function after Posterior Vaginal Compartment Repair with and without Mesh

作     者：Shuo Liang Lan Zhu Lei Zhang Zhi-Jing Sun Xu Tao Jing-He Lang Liang Shuo;Zhu Lan;Zhang Lei;Sun Zhi-Jing;Tao Xu;Lang Jing-He

作者机构：Department of Obstetrics and Gynecology Peking Union Medical College Hospital Peking Union Medical College Chinese Academy of Medical SciencesBeijing 100730 China Department of Epidemiology and Statistics Institute of Basic Medical Sciences Chinese Academy of Medical Sciences and School of Basic MedicinePeking Union Medical College Beijing 100730 China 

出 版 物：《Chinese Medical Journal》 (中华医学杂志（英文版）)

年 卷 期：2015年第128卷第4期

页      面：438-442页

核心收录：

学科分类：090603[农学-临床兽医学] 0710[理学-生物学] 1002[医学-临床医学] 07[理学] 09[农学] 0906[农学-兽医学] 071002[理学-动物学] 

主　　题：Anorectal Manometry Constipation Mesh Pelvic Organ Prolapse Posterior Vaginal Compartment Repair 

摘      要：Background：Although repair augmented with mesh has been proved its priority in anatomical and functional recovery after anterior compartment reconstruction,the data about posterior compartment are *** aim of this study was to compare bowel functional outcome of posterior vaginal compartment repair with and without mesh in patients with pelvic organ prolapse （POP）.Methods：This was a prospective,double-blind,clinical pilot study of 22 postmenopausal women with symptomatic POP （overall POP-quantification [POP-Q] Stage Ⅲ-ⅣV） who underwent total pelvic floor *** were grouped according to the use of mesh for posterior vaginal compartment repair：A mesh group and a nonmesh ***-Q stage,the pelvic floor impact questionnaire short form-7 （PFIQ-7） and anorectal manometry were evaluated before and 3 months after *** success was defined as POP-Q Stage Ⅱ or less.A t-test was used to compare preoperative with postoperative data in the two ***：Totally,17 （71％） were available for the ***-Q measurements improved significantly compared to baseline （P 0.05） in both *** recurrence was *** in both groups reported improvement in pelvic floor symptoms,and there was no significant difference in the PFIQ-7 score between groups at follow-up （P 0.05）.Compared with baseline,the nonmesh group exhibited a statistically significant decrease in anal residual pressure,a significant increase in the anorectal pressure difference during bowel movement,and a reduced rate ofdyssynergia defecation pattern （P 0.05）.Conclusions：Provided there is sufficient support for the anterior wall and apex of vagina with mesh,posterior compartment repair without mesh may be as effective as repair with mesh for anatomical recovery while providing better anorectal motor function.