Abdominal sacral colpopexy or vaginal sacrospinous colpopexy for vaginal vault prolapse: A prospective randomized study

Maher, Christopher F., Qatawneh, Aymen M., Dwyer, Peter L., Carey, Marcus P., Cornish, Ann and Schluter, Philip J. (2004) Abdominal sacral colpopexy or vaginal sacrospinous colpopexy for vaginal vault prolapse: A prospective randomized study. American Journal of Obstetrics And Gynecology, 190 1: 20-26.


Author Maher, Christopher F.
Qatawneh, Aymen M.
Dwyer, Peter L.
Carey, Marcus P.
Cornish, Ann
Schluter, Philip J.
Title Abdominal sacral colpopexy or vaginal sacrospinous colpopexy for vaginal vault prolapse: A prospective randomized study
Journal name American Journal of Obstetrics And Gynecology   Check publisher's open access policy
ISSN 0002-9378
Publication date 2004-01
Sub-type Article (original research)
DOI 10.1016/j.ajog.2003.08.031
Volume 190
Issue 1
Start page 20
End page 26
Total pages 7
Editor E. J. Quilligan
Place of publication United States
Publisher Mosby Inc.
Collection year 2004
Language eng
Subject C1
321014 Obstetrics and Gynaecology
730115 Urogenital system and disorders
Formatted abstract Objective

The purpose of this study was to compare the abdominal sacral colpopexy and vaginal sacrospinous colpopexy in the treatment of vaginal vault prolapse.

Study design


Ninety-five women with vaginal vault prolapse were allocated randomly to sacral colpopexy (47 women) or sacrospinous colpopexy (48 women). Primary outcome measurements include subjective, objective, and patient-determined success rates. Secondary outcomes include the impact on bowel, bladder, and sexual function, cost, and quality of life.

Results


Two years after the operation (range, 6-60 months), the subjective success rate was 94% in the abdominal and 91% in the vaginal group (P = .19). The objective success rate was 76% in the abdominal group and 69% in the vaginal group (P = .48). The abdominal approach was associated with a longer operating time, a slower return to activities of daily living, and a greater cost than the sacrospinous colpopexy (P<.01). Both surgeries significantly improved the patient's quality of life (P<.05).

Conclusion


Abdominal sacral colpopexy and vaginal sacrospinous colpopexy are both highly effective in the treatment of vaginal vault prolapse.
Keyword Obstetrics & Gynecology
Sacral Colpopexy
Sacrospinous Colpopexy
Vault Prolapse
Pelvic Support Defects
Stress-incontinence
Urinary-incontinence
Organ Prolapse
Surgery
Women
Colposuspension
Reconstruction
Suspension
Fixation
Q-Index Code C1

 
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Created: Wed, 15 Aug 2007, 05:05:07 EST