title: Comparison of short-term outcomes following pelvic reconstruction with Perigee and Apogee systems: hysterectomy or not?
abstract: OBJECTIVE
  This study aims to compare the surgical outcomes between hysterectomy and uterine preservation in pelvic reconstruction with Perigee and Apogee systems for severe pelvic organ prolapse.
  
  
  METHODS
  Ninety-one women who have undergone transvaginal pelvic reconstructive surgery with Perigee and Apogee systems for severe pelvic organ prolapse were divided into two groups: hysterectomy (n = 39) and uterine preservation (n = 52). The pre-operative and post-operative assessments include subjective urinary and prolapse symptoms, objective pelvic organ prolapse quantification (POP-Q) system, urodynamic examination, and complications.
  
  
  RESULTS
  The mean follow-up period was 8.9 months (range, 0.9-26.5). There were no anatomical differences between the two groups other than a longer perineal body in the hysterectomy group (3.9 vs. 3.6, p < 0.05) and a longer total vaginal length in the uterine preservation group (8.2 vs. 7.8, p < 0.05). Preservation of uterus has significantly reduced operative time, blood loss, and days of urine indwelling catheter (p < 0.001).
  
  
  CONCLUSIONS
  Hysterectomy and uterine preservation have comparable anatomical outcomes and post-operative complications in pelvic reconstruction with Perigee and Apogee systems at short-term follow-up.
authors.affiliation: Department of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, No.123, Dapi Rd, Niaosong Dist. 833 Kaohsiung, Taiwan.
authors.forename: Li-Ching
authors.initials: LC
authors.lastname: Chu
authors.forename: Fei-Chi
authors.initials: FC
authors.lastname: Chuang
authors.forename: Fu-Tsai
authors.initials: FT
authors.lastname: Kung
authors.forename: Kuan-Hui
authors.initials: KH
authors.lastname: Huang
mesh_terms: D000368:Aged; D016063:Blood Loss, Surgical; D002408:Catheters, Indwelling; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000473:pathology / Q000601:surgery*; D012720:Severity of Illness Index; D013526:Surgical Mesh; D013997:Time Factors; D016896:Treatment Outcome; D014546:Urinary Catheterization; D014599:Uterus / Q000601:surgery*