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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. (2004-01) 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.
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| Author(s) |
Maher, Christopher F.
Qatawneh, Aymen M.
Dwyer, Peter L.
Carey, Marcus P.
Cornish, Ann
Schluter, Philip J.
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| Title |
Abdominal sacral colpopexy or vaginal sacrospinous colpopexy for vaginal vault prolapse: A prospective randomized study
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| Journal name |
American Journal of Obstetrics And Gynecology
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| Publication date |
2004-01
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| Volume number |
190
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| Issue number |
1
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| ISSN |
0002-9378
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| Start page |
20
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| End page |
26
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| Total pages |
7
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| Editor(s) |
E. J. Quilligan
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| Place of publication |
United States
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| Publisher |
Mosby Inc.
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| Collection year |
2004
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| Language |
eng
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| Subject |
C1
321014 Obstetrics and Gynaecology
730115 Urogenital system and disorders
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| 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.
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| Keyword(s) |
Obstetrics & Gynecology
Sacral Colpopexy
Sacrospinous Colpopexy
Vault Prolapse
Pelvic Support Defects
Stress-incontinence
Urinary-incontinence
Organ Prolapse
Surgery
Women
Colposuspension
Reconstruction
Suspension
Fixation
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