Results of pelvic organ prolapse surgery performed in our clinic

Objective: This study aims to compare the surgical outcomes of pelvic organ prolapse procedures performed in our clinic. It seeks to evaluate differences in surgical procedure preferences over the years and to compare the surgical methods preferred in patients "under 65 years" versus those "aged 65 and above." Materials and Methods: This dissertation study includes 298 patients who were operated on in our clinic between 2018 and 2024 with diagnoses such as "female genital prolapse", "uterovaginal prolapse", "cystocele", "rectocele", or "vaginal vault prolapse after hysterectomy", and who were referred to the Obstetrics and Gynecology Clinic at Bezmialem Vakıf University Faculty of Medicine Hospital from various outpatient units. Demographic data, presenting complaints, physical examination findings, surgical methods, length of hospital stay, intensive care unit requirements, postoperative follow-ups, blood transfusion needs, complications, and recurrences were recorded and evaluated along with relevant influencing factors. Results: In our study, it was observed that the most frequently performed pelvic organ prolapse surgery in our clinic is laparoscopic sacrocolpopexy in all age groups. Our data indicate that obliterative surgical procedures were statistically significantly more frequently applied in patients aged 65 and above. Anterior-posterior colporrhaphy was statistically significantly more frequently performed in patients under the age of 65, and levator suturing was more commonly performed in this group. The average length of hospital stay and the need for intensive care were also statistically significantly higher in the population aged 65 and above. A comparison of the distribution of surgical procedures by year revealed statistically significant differences. Conclusion: In patients aged 65 and above, sexual activity and comorbidities must be taken into account when considering surgical options, and they should be evaluated in terms of obliterative versus reconstructive procedures. Whether the surgery involves uterine-sparing techniques, hysterectomy, mesh use, natural tissue repair, or concomitant anti-incontinence procedures, each case should be planned individually in consultation with the patient.