Anterior colporrhaphy under local anesthesia

Czech version

Authors: J. Vláčil ¹; M. Halaška ¹; O. Šottner ¹; K. Maxová ¹; M. Kotoulová ¹; I. Malá ²
Authors‘ workplace: Gynekologicko-porodnická klinika 1. LF UK a Nemocnice Na Bulovce, Praha, přednosta prof. MUDr. M. Halaška, DrSc. ¹; Fakulta informatiky a statistiky, Katedra statistiky a pravděpodobnosti VŠE, Praha, vedoucí katedry prof. Ing. R. Hindls, CSc., dr. h. c. ²
Published in: Ceska Gynekol 2015; 80(1): 45-49

Overview

Objective:
To evaluate the advantage of the usage of local anesthesia for vaginal surgery in gerontological patients.

Design:
Prospective study.

Setting:
Charles University in Prague, 1st Medical Faculty and Hospital Bulovka, Department of Obstetrics and Gynaecology, Prague.

Methods:
43 patients over 60, 4 were younger, with diagnosed descent of anterior vaginal wall G II–III according to International Continence Society classification, were included into the study. They underwent anterior vaginal wall repair in the sole local anesthesia. For the assessment of the procedure, we used anamnestic data and quality of life questionnaires Visual analogue scale, International Consultation on Incontinence Questionnaire – Short Form, Pelvic Floor Distress Inventory – 20.

Results:
The results of used questionnaires confirmed positive results of the local anesthesia. We demonstrated statistically significant improvement of the urinary incontinence too, as well as subjective perception of the descent.

Conclusion:
Excellent subjective assessment of usage of local anesthesia showed us new operative possibility in treatment applicable in high-risk patients.

Keywords:
urogynaecology, anterior colporrhaphy, local anesthesia, geriatric (high-risk) patient

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