open access

Vol 86, No 3 (2015)
ARTICLES
Get Citation

(Un)Forgotten Neugebauer-Le Fort operation. Paramedian closure of the vagina – safe and effective surgical procedure for treating of pelvic organ prolapse in older women

Aleksandra Szcześniewska, Marian Szpakowski, Jacek Władziński, Tomasz Stetkiewicz, Jacek R. Wilczyński
DOI: 10.17772/gp/2063
·
Ginekol Pol 2015;86(3).

open access

Vol 86, No 3 (2015)
ARTICLES

Abstract

Objectives: The aim of the study is to present data concerning Neugebauer-Le Fort operations performed at the Gynecologic Oncology Clinic, Polish Mother’s Health Center Research Institute in Lodz between 2000-2009, including the effects of the surgeries on improving quality of life. Material and methods: Our research included all patients (90 women) operated due to total pelvic organ prolapse (stage IV of POP-Q) in Gynecologic Oncology Clinic. The data was collected retrospectively from medical records. Results of the treatment were evaluated based upon surveys and control checkups. The p-value of 0.05 was considered statistically significant. Results: Mean patient age was 76.5 years. The analysis of medical records showed that 35% of the subjects had a BMI index >30. Out of 90 patients, 53%, 30% and 4% of the women had 2, 3, and 4 natural deliveries, respectively, whereas 16% had forceps delivery. Of the 65 operated patients, in more than 92% all the symptoms connected with pelvic organ prolapse disappeared. Problems with the urinary tract (urinary incontinence ‘de novo’, urinary tract infections) emerged in 13% and constipation in 5% of the women. As far as improved quality of life after the surgery is concerned, 93% of the subjects answered 4 and 5 (in a scale from 1 to 5). Conclusions: Neugebauer-Le Fort surgery is characterized by high effectiveness both, in objective research and subjective ratings of the operated patients. A high safety profile constitutes a great advantage of the surgery, as was confirmed in our study. In carefully selected group of patients with stage IV of POP-Q, Neugebauer-Le Fort surgery is a safe and effective procedure.

Abstract

Objectives: The aim of the study is to present data concerning Neugebauer-Le Fort operations performed at the Gynecologic Oncology Clinic, Polish Mother’s Health Center Research Institute in Lodz between 2000-2009, including the effects of the surgeries on improving quality of life. Material and methods: Our research included all patients (90 women) operated due to total pelvic organ prolapse (stage IV of POP-Q) in Gynecologic Oncology Clinic. The data was collected retrospectively from medical records. Results of the treatment were evaluated based upon surveys and control checkups. The p-value of 0.05 was considered statistically significant. Results: Mean patient age was 76.5 years. The analysis of medical records showed that 35% of the subjects had a BMI index >30. Out of 90 patients, 53%, 30% and 4% of the women had 2, 3, and 4 natural deliveries, respectively, whereas 16% had forceps delivery. Of the 65 operated patients, in more than 92% all the symptoms connected with pelvic organ prolapse disappeared. Problems with the urinary tract (urinary incontinence ‘de novo’, urinary tract infections) emerged in 13% and constipation in 5% of the women. As far as improved quality of life after the surgery is concerned, 93% of the subjects answered 4 and 5 (in a scale from 1 to 5). Conclusions: Neugebauer-Le Fort surgery is characterized by high effectiveness both, in objective research and subjective ratings of the operated patients. A high safety profile constitutes a great advantage of the surgery, as was confirmed in our study. In carefully selected group of patients with stage IV of POP-Q, Neugebauer-Le Fort surgery is a safe and effective procedure.
Get Citation

Keywords

pelvic organ prolapse / Neugebauer-Le Fort’s operation / / quality of life / postoperative complications /

About this article
Title

(Un)Forgotten Neugebauer-Le Fort operation. Paramedian closure of the vagina – safe and effective surgical procedure for treating of pelvic organ prolapse in older women

Journal

Ginekologia Polska

Issue

Vol 86, No 3 (2015)

Page views

1020

Article views/downloads

15318

DOI

10.17772/gp/2063

Bibliographic record

Ginekol Pol 2015;86(3).

Keywords

pelvic organ prolapse / Neugebauer-Le Fort’s operation / / quality of life / postoperative complications /

Authors

Aleksandra Szcześniewska
Marian Szpakowski
Jacek Władziński
Tomasz Stetkiewicz
Jacek R. Wilczyński

Regulations

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By VM Media Group sp. z o.o., ul. Świętokrzyska 73, 80–180 Gdańsk
tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl