Total 688 pelvic floor reconstructive surgeries were performed from Jan 2018 to Dec 2022. Hysterectomy were performed in most women (n=555), majority by vaginal route (n= 543, by laparoscopic route n=10, and open n=2). Remaining included obliterative surgery by colpoclesis (n=15) and uterine preserving surgery (n=8) as well as other types of prolapse repair surgery. Most were native tissue repair and 149 (21.7%) of them involved mesh repair surgery, involving abdominal route (n=78), namely sacrocolpopexy, mostly done laparoscopically (n=77) and laparoscopic hysterosacropexy (n=4); vaginal route by anterior vaginal mesh in 67 women. There were 197 (28.6%) concomitant continence surgeries, mainly mid-urethral sling surgery by tension free vaginal tape surgery (transobturator or retropubic route).
Mean age of women were 66.8 ± 8.7 years old and their mean length of stay was 2.2 ± 2.5 days, ranging 0-50 days and mode being 1 day. Up to 41.6% of women were discharged within post-operative day one, while 78.9% discharged within post-operative day two. Both the younger group of women or “elderly” with different definitions did not show significant association with the length of post-operative stay, <65 years old, p-value 0.21; between 65 and 70 years old, p-value 0.25; >70 years old, p-value 0.08; >80 years old, p-value 0.07. Concomitant continence surgery and mesh surgery, irrespective of route, were found to be associated with longer length of stay, p-value <0.01, with odds ratio (OR) 1.8, 95% confidence interval (C.I.) 1.2-2.5; p-value < 0.01, OR 3.6, 95th C.I. 2.3-5.6 respectively.
There were 35 unplanned emergency readmissions within 30 days after operation. Major reasons included vault, pelvic or vaginal hematoma (n=14), wound infection (n=5), minor complaints such as non-specific abdominal pain, vaginal bleeding or vaginal discharge (n=6), pain (n=4) and urinary or voiding symptoms (n=4). There was one admission due to post-operative adhesive intestinal obstruction and one caused by duodenal ulcer. Age, mesh or concomitant continence surgery were not associated with unplanned readmissions.