Outcomes of transvaginal uterosacral ligament suspension: systematic review and metaanalysis.

Abstract:

:This systematic review of uterosacral ligament suspension provides a metaanalysis of anatomic outcomes and a summary of subjective outcomes. A successful anatomic outcome was considered present when women had "optimal" or "satisfactory" (pelvic organ prolapse quantification system stage 0 or 1) outcomes. In the anterior, apical, and posterior compartments, the pooled rates for a successful outcome were 81.2% (95% confidence interval [CI], 67.5-94.5%), 98.3% (95% CI, 95.7-100%), and 87.4% (95% CI, 67.5-94.5%). In the anterior compartment, women with preoperative stage 2 prolapse were more likely than those with preoperative stage 3 prolapse to have a successful anatomic outcome (92.4% vs 66.8%; P = .06). Outcomes, with respect to subjective symptoms, were reassuring; however, it was not possible to pool data because of methodologic differences between studies.

journal_name

Am J Obstet Gynecol

authors

Margulies RU,Rogers MA,Morgan DM

doi

10.1016/j.ajog.2009.07.052

subject

Has Abstract

pub_date

2010-02-01 00:00:00

pages

124-34

issue

2

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(09)00838-2

journal_volume

202

pub_type

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