Anatomic outcomes of abdominal sacrocolpopexy with or without paravaginal repair.

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 > or = -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.

journal_name

Int Urogynecol J

authors

Shippey SH,Quiroz LH,Sanses TV,Knoepp LR,Cundiff GW,Handa VL

doi

10.1007/s00192-009-1013-8

subject

Has Abstract

pub_date

2010-03-01 00:00:00

pages

279-83

issue

3

eissn

0937-3462

issn

1433-3023

journal_volume

21

pub_type

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