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01.03.2010 | Original Article

Anatomic outcomes of abdominal sacrocolpopexy with or without paravaginal repair

verfasst von: Stuart H. Shippey, Lieschen H. Quiroz, Tatiana V. D. Sanses, Leise R. Knoepp, Geoffrey W. Cundiff, Victoria L. Handa

Erschienen in: International Urogynecology Journal | Ausgabe 3/2010

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Abstract

Introduction and hypothesis

We sought to compare rates of recurrent cystocele following sacrocolpopexy with and without paravaginal repair (PVR).

Methods

This retrospective cohort study compared outcomes for patients undergoing sacrocolpopexy with (group A) and without (group B) concomitant PVR. Defining anterior failure as point Ba ≥ −1 cm, we compared anatomic outcomes and reoperation rates for recurrence of cystocele.

Results

One hundred seventy patients undergoing sacrocolpopexy had anterior wall prolapse at or beyond the hymen before surgery (62 in group A and 108 in group B). Ten (16.1%) patients in group A and 29 (26.9%) in group B experienced anterior wall prolapse to or beyond −1 cm (p = 0.13, power 0.38). Among these groups, one (1.6%) and five (4.6%) underwent reoperation for cystocele recurrence (p = 0.42, power <0.3).

Conclusions

Despite the trend toward improved clinical outcomes, we were unable to detect a statistically significant difference with inclusion of PVR with sacrocolpopexy.

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Titel: Anatomic outcomes of abdominal sacrocolpopexy with or without paravaginal repair
verfasst von: Stuart H. Shippey
Lieschen H. Quiroz
Tatiana V. D. Sanses
Leise R. Knoepp
Geoffrey W. Cundiff
Victoria L. Handa
Publikationsdatum: 01.03.2010
Verlag: Springer-Verlag
Erschienen in: International Urogynecology Journal / Ausgabe 3/2010
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-009-1013-8

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Anatomic outcomes of abdominal sacrocolpopexy with or without paravaginal repair