A Comparative Analysis of Conventional Anterior Colporrhaphy with Native Tissue Repair for Pelvic Organ Prolapse
DOI:
https://doi.org/10.70749/ijbr.v3i12.2717Keywords:
pelvic organ prolapse, native trapezoid repair, anterior colporrhaphy, recurrence rate, patient satisfactionAbstract
Objective: To compare outcomes between traditional anterior colporrhaphy (AC) and Native Trapezoid Repair (NTR) for anterior compartment pelvic organ prolapse (POP), focusing on anatomical correction, recurrence, perioperative outcomes, and functional and anatomical outcome. Methods: Key outcome measures included recurrence at 12 months, POP-Q (point Ba), and patient satisfaction. Results: The study has suggested lower recurrence and higher patient satisfaction with NTR (99%) versus AC (60%). In this study, recurrence for AC was 15% as compared to 5% for NTR; Regarding post op functional outcome symptoms were significantly improved in NTR as compared to AC regarding voiding difficulty and vaginal buldge. In anatomical outcome, result were highly significant regarding POP points Aa and Ba in NTR than in AC (P<0.05). Recent literature increasingly supports tailored native-tissue techniques and highlights variability in outcomes across techniques and follow-up period. Conclusions: NTR demonstrates promising anatomical durability and better patient-reported outcomes in a Shalimar Hospital; however, RCT are recommended to further elaborate the findings.
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