Anatomic outcomes of abdominal sacrocolpopexy with or without paravaginal repair

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

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish (US)
Pages (from-to)279-283
Number of pages5
JournalInternational Urogynecology Journal
Volume21
Issue number3
DOIs
StatePublished - Mar 2010

Keywords

  • Cystocele
  • Paravaginal repair
  • Sacrocolpopexy

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Urology

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