TY - JOUR
T1 - Anatomic outcomes of vaginal mesh procedure (Prolift) compared with uterosacral ligament suspension and abdominal sacrocolpopexy for pelvic organ prolapse
T2 - a Fellows' Pelvic Research Network study
AU - Sanses, Tatiana V.D.
AU - Shahryarinejad, Azin
AU - Molden, Stephanie
AU - Hoskey, Kay A.
AU - Abbasy, Shameem
AU - Patterson, Danielle
AU - Saks, Emily K.
AU - Weber LeBrun, Emily E.
AU - Gamble, Tondalaya L.
AU - King, Virginia G.
AU - Nguyen, Aimee L.
AU - Abed, Husam
AU - Young, Stephen B.
PY - 2009/11
Y1 - 2009/11
N2 - Objective: The objective of the study was to compare apical support anatomic outcomes following vaginal mesh procedure (VMP) (Prolift) to uterosacral ligament suspension (USLS) and abdominal sacrocolpopexy (ASC). Study Design: This multicenter, retrospective chart review compared apical anatomic success (stage 0 or 1 based on point C or D of the Pelvic Organ Prolapse Quantification), level of vaginal apex (point C or D) 3-6 months after prolapse repair at 10 US centers between 2004 and 2007. Results: VMP, USLS, and ASC were performed for 206, 231, and 305 subjects respectively. There was no difference in apical success after VMP (98.8%) compared with USLS (99.1%) or ASC (99.3%) (both P = 1.00) 3-6 months after surgery. The average elevation of the vaginal apex was lower after VMP (-6.9 cm) than USLS (-8.05 cm) and ASC (-8.5 cm) (both P < .001). Conclusion: Patients undergoing VMP have similar apical success compared with USLS and ASC despite lower vaginal apex 3-6 month after surgery.
AB - Objective: The objective of the study was to compare apical support anatomic outcomes following vaginal mesh procedure (VMP) (Prolift) to uterosacral ligament suspension (USLS) and abdominal sacrocolpopexy (ASC). Study Design: This multicenter, retrospective chart review compared apical anatomic success (stage 0 or 1 based on point C or D of the Pelvic Organ Prolapse Quantification), level of vaginal apex (point C or D) 3-6 months after prolapse repair at 10 US centers between 2004 and 2007. Results: VMP, USLS, and ASC were performed for 206, 231, and 305 subjects respectively. There was no difference in apical success after VMP (98.8%) compared with USLS (99.1%) or ASC (99.3%) (both P = 1.00) 3-6 months after surgery. The average elevation of the vaginal apex was lower after VMP (-6.9 cm) than USLS (-8.05 cm) and ASC (-8.5 cm) (both P < .001). Conclusion: Patients undergoing VMP have similar apical success compared with USLS and ASC despite lower vaginal apex 3-6 month after surgery.
KW - Prolift
KW - abdominal sacrocolpopexy
KW - apical prolapse
KW - vaginal mesh procedure
KW - vaginal uterosacral ligament suspension
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U2 - 10.1016/j.ajog.2009.07.004
DO - 10.1016/j.ajog.2009.07.004
M3 - Article
C2 - 19716533
AN - SCOPUS:70350776514
SN - 0002-9378
VL - 201
SP - 519.e1-519.e8
JO - American journal of obstetrics and gynecology
JF - American journal of obstetrics and gynecology
IS - 5
ER -