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Posterior Compartment Prolapse Occurrence After Anterior Vaginal Wall Suspension.
- Source :
-
Urology [Urology] 2019 Nov; Vol. 133, pp. 84-90. Date of Electronic Publication: 2019 Aug 16. - Publication Year :
- 2019
-
Abstract
- Objective: To determine the long-term rate of posterior compartment prolapse (PCP) occurrence after native tissue repair of the anterior compartment with anterior vaginal wall suspension (AVWS) procedure.<br />Methods: An institutional review board approved surgical prolapse database was reviewed for women who underwent AVWS for any degree of anterior compartment prolapse with minimum of 6-month follow-up and no history of apical or posterior compartment repair. Demographic data, smoking status, parity, and uterine status were collected. The primary outcome was need for secondary PCP repair.<br />Results: A total of 300 women met inclusion criteria with a mean age of 63.8 ± 10.8 years, mean BMI of 26.1 ± 6.2 kg/m <superscript>2</superscript> , and a mean parity of 2.5 ± 1.4. At the time of AVWS 46 women (15%) had uterine-sparing AVWS, 74 (25%) had concomitant hysterectomy, and 180 (60%) had prior hysterectomy. Forty-eight women (16%) had secondary posterior compartment repair for PCP (60% abdominal route, 40% done vaginally) over a mean follow-up of 7.1 ± 4.4 years.<br />Conclusion: At long-term follow-up, less than 20% of women undergoing AVWS underwent PCP repair.<br /> (Copyright © 2019 Elsevier Inc. All rights reserved.)
Details
- Language :
- English
- ISSN :
- 1527-9995
- Volume :
- 133
- Database :
- MEDLINE
- Journal :
- Urology
- Publication Type :
- Academic Journal
- Accession number :
- 31425682
- Full Text :
- https://doi.org/10.1016/j.urology.2019.08.010