Navegando por Palavras-chave "prolapso genital"

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    Preservação uterina versus histerectomia no tratamento cirúrgico do prolapso genital: revisão sistemática e metanálise
    (Universidade Federal de São Paulo (UNIFESP), 2016-05-20) Oliveira, Sofia Andrade de [UNIFESP]; Castro, Rodrigo de Aquino Castro [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: genital prolapse is defined as the permanent displacement of any segment or vaginal pelvic organ from its usual location, covering the prolapse of the uterus or the vaginal walls. A hysterectomy has been the standard treatment for symptomatic uterine prolapse correction. With lifestyle change and with increasing concern with fertility and female sexual function, many patients ask the possibility of uterine preservation. Objective: conducting a meta-analysis with articles that prospectively have compared the uterine preservation and hysterectomy to correct uterine prolapse. Results: uterine preservation showed higher rate of recurrence and reoperation (CI:1.41-4.64, p = 0.002; CI:1:23 to 5:27, p=0.01). The mesh extrusion rate, operative time and blood loss were lower in uterine preservation techniques (CI:0.14-0.78, p=0.01; CI:-40.14,-12.73, p=0.0002; CI:-121.29,-12.22, p=0.02). There was a lower incidence of dyspareunia and higher febrile morbidity rate with uterine preservation, however, the difference was not statistically significant (CI:0.30-2:57, p=0.81, CI:0.32-4:46, p=0.80). The time of urinary catheterization, hospital stay, urinary retention rate and visceral injury rate had no difference between the groups (CI:-0.48-0:30, p = 0.65; CI:-0.17-0.04, p=0.23; IC:0.06-6.69, p=0.70, CI:0.03-2.83, p=0.29). Conclusion: histeropreservação in uterine prolapses determines higher rate of recurrence and reoperation, although require less surgical time with less blood loss and there is less screen extrusion rate when used.