Perfil epidemiológico e complicações cirúrgicas de mulheres submetidas a cirurgias para disfunção do assoalho pélvico em centro de referência do estado do Ceará, no período de 2014 a 2016

Abstract

Introduction: Pelvic floor dysfunction is a common condition and is responsible for significant morbidity in women, pelvic organ prolapse (POP) and urinary incontinence (UI), which are the most prevalent dysfunctions. Objectives: To evaluate the epidemiological profile and surgical results of patients submitted to surgeries for correction of pelvic organ prolapse (POP) and urinary incontinence (UI) in a public tertiary hospital in Ceará. Methods: A retrospective study was carried out, analyzing the records of 204 patients undergoing surgery to correct POP and UI in the period from 2014 to 2016. Results: The mean age was 59.4 years, 79.9% had a history of vaginal delivery. The main complaints were: vaginal ball or weight (67,6%), stress UI (22%) and mixed UI (22%). The most performed surgery for POP correction was anterior colpoplasty (51,4%), for UI correction, the SLING -TOT surgery, had a prevalence of (74,3%). About to surgical complications, there were 10 cases of intraoperative complications, immediate postoperative complications occurred in 28 patients (13.7%), with the most prevalent being intense pain and urinary retention, only 2.9% of patients were reoperated. Conclusion: Surgical procedures presented complication rates and recurrences, similar to those reported in the current literature, some procedures having more risks than others.