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International Urogynecology Journal

Erschienen in:

01.04.2009 | Original Article

Analysis of risk factors associated with surgical failure of sacrospinous suspension for uterine or vaginal vault prolapse

verfasst von: Huey-Yi Chen, Tsan-Hung Chiu, Ming Ho, Yao-Ching Hung

Erschienen in: International Urogynecology Journal | Ausgabe 4/2009

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Abstract

The goal of this study was to analyze the potential risk factors determining surgical failure after sacrospinous suspension for uterine or vaginal vault prolapse. Each woman underwent a detailed history taking and a vaginal examination before treatment. Follow-up evaluations were at immediate post-operation, 1 week, 1 to 3 months, 6 months, 9 months, and annually after the operation. The surgical failure rate (27/168) following sacrospinous suspension was 16.1%. Using multivariable logistic regression, women with the presence of C or D point stage I at immediate post-operation were a significant risk factor for surgical failure after sacrospinous suspension (odds ratio, 35.34; 95% confidence interval, 8.75–162.75; p < 0.001). The success rate during the 18-month follow-up decreased significantly in women with the presence of C or D point stage I at immediate post-operation than stage 0. Although the sample size of women with symptomatic uterine or vaginal vault prolapse is small, impaired correction of anatomic defects is a significant risk factor for surgical failure of sacrospinous suspension.

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Titel: Analysis of risk factors associated with surgical failure of sacrospinous suspension for uterine or vaginal vault prolapse
verfasst von: Huey-Yi Chen
Tsan-Hung Chiu
Ming Ho
Yao-Ching Hung
Publikationsdatum: 01.04.2009
Verlag: Springer-Verlag
Erschienen in: International Urogynecology Journal / Ausgabe 4/2009
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-008-0780-y

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Analysis of risk factors associated with surgical failure of sacrospinous suspension for uterine or vaginal vault prolapse

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