Vaginal repair operationfor anterior pelvic organ prolapse in elderly women

：Objective To identifythe safety and efficacy of individualized vaginal surgery for anterior pelvic organprolapse (POP) in elderly women so as to provide a clinical basis for studies on improvinglife quality by treatment in elderly women. Methods The individuaation group consisted of90patients with a diagnosis of anterior POP. All over 60 years old, they underwentindividualized vaginal surgery. The safety and efficacy, POP quantitative examinationPOP-Q change, cure and recurrence rate and life quality scores on incontinence and pelvicfloor distress and impact were assessed. The control group ( n = 60) was composed ofpatients ( ＞ 60 yr old ) with a diagnosisof anterior POP were performed with Kelly-Kennedy operation. Their safety, efficacy, cureand recurrence rates were compared. Results Individualized vaginal surgery in elderlywomen was both safe and effective. The post-therapeutic recovery time was shorter(P＜ 0. 05 ), the cure rate higher and the recurrencerate lower( P ＜ 0. 05 )than that of controlgroup. The life quality after individualized surgery improved (P＜0.01 ). Conclusion Theindividualized vaginal surgery is safe and effective for a correction of anterior POP inelderly women. The life quality improves after operation. Key words: Pelvic organ prolapse(POP); Individuation; Vagina; Gynecological operation