The relevance of fascial surgical repair in the management of pelvic organ prolapse (POP)

Purpose: To evaluate the anatomical and functional outcomes and post-operative compliance of fascial surgical repair in the management of pelvic organ prolapse (POP). Materials and Methods: The authors analyzed 147 patients before and after surgical treatment for POP analyzing pre- and post-operative symptoms. Patients were divided into two groups: group A patients who underwent vaginal hysterectomy, associated with anterior, posterior, and/or both vaginal repair; group B that underwent only anterior and/or posterior surgical vaginal correction. Results: The average time of post-operative hospitalization was significantly longer in group A than in group B (p = 0.019). However group A showed a better outcome in terms of days after surgery regarding post voiding residual <100 cc (p = 0.039). During follow-up, urinary incontinence improved (p= 0.001), whereas pelvic pressure, regular bowel function, and improvement 'in sexual activity were not significant (p > 0.05). Conclusions: Currently we do not have a surgical procedure which can be considered the best for treating prolapse, so it seems that the best option is a personalized surgery tailored for each patient.