RESUMO
El prolapso genital completo es un problema frecuente que presentan las adultas mayores, este trabajo propone la técnica Le Ford con algunas modificaciones a la misma, para obtener mayor eficacia. Objetivos: evaluar los beneficios del manejo del prolapso genital total con la técnica de Le Ford mejorando y modificando la misma. Describir datos estadísticos (incidencia, edad, procedencia, actividad), paridad, pesos de los productos, medir la presión de canal vaginal previo al procedimiento, identificar las enfermedades sobre agregadas, determinar el grado de prolapso que presenten, determina el tiempo de estadía hospitalaria postquirúrgico, valorar el tiempo recuperación. Métodos: es un estudio con enfoque cuantitativo, descriptivo, prospectivo, longitudinal, realizado en el Hospital Materno Infantil Germán Urquidi, en un período de 3 años 2009 al 2011. Resultados: las pacientes adultas mayores con prolapso genital completo que fueron atendidas con esta técnica tuvieron una recuperación rápida, estadía hospitalaria corta, integración a su medio social casi inmediato, tiempo quirúrgico y riesgo quirúrgico menor.
The complete genital prolapse is a common problem among older adults presenting, this paper proposes the technique Le Ford with some modifications to it, for more efficiency. Objectives: to assess the benefits of managing the total genital prolapse with the technique of Le Ford improving and modifying it. Describe statistical data (incidence, age, origin, activity), parity, weight of products, measure the pressure before the procedure vaginal canal, identify a superimposed disease, determine the degree of prolapse present, determines the length of hospital stay after surgery, assess the recovery time. Methods: this is a study with a quantitative, descriptive, prospective, longitudinal approach, performed in the Maternity Hospital Germán Urquidi, a 3-year period 2009 to 2011. Results: older adult patients with complete genital prolapse were treated with this technique had a rapid recovery, shorter hospital stay, integration of its almost immediate social environment, surgical time and less surgical risk.
Assuntos
Prolapso UterinoRESUMO
OBJECTIVE: To evaluate female sexual function after colpoperineoplasty. METHODS: Women who visited regional clinic for colpoperineoplasty from June. 2004-Aug. 2004. filled in FSFI (The Female Sexual Function Index) questionnarie before and 4 months after surgery. Six weeks after surgery, they start pelvic muscle training with HMT 2000 (Korea, electric stimulator). RESULTS: Frequency of coitus, sexual desire, arousal, lubrication and orgasm was increased after colpoperineoplasty. Percentage of patients who had coitus more than once a week increased from 18% to 63%. In sexual desire, about 18% felt sexual arousal more than or about half the time before surgery, but increased to 45% after surgery. In sexual arousal, percentage of who felt sexually aroused during more than half of sexual activity increased from 34% before surgery to 69% after surgery. In Lubrication, percentage of who became lubricated during more than half of sexual activity increased from 44% before surgery to 82% after surgery. Who reached orgasm more than half of sexual activity increased from 29% before surgery to 70%. CONCLUSION: Colpoperineoplasty increased female sexual activity.