Preoperative Prolapse Stage as Predictor of Failure of Sacrocolpopexy

Muhammad F. Aslam, Blake Osmundsen, S(Renee) Edwards, Catherine Matthews, William (Tom) Gregory

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

Objectives: Our aim was to determine if there was a correlation between the preoperative prolapse stage and postoperative recurrence of prolapse 1 year after sacrocolpopexy. Our null hypothesis is that the preoperative stage of prolapse does not increase the risk of recurrence. Methods: This is a multicenter cohort study from 3 centers.We included subjects who underwent robotic-assisted sacrocolpopexy and completed a standardized 1-year follow-up from 2009-2014. All subjects underwent a complete preoperative evaluation and completed 12 months of follow-up with the pelvic organ prolapse quantification examination. We compared those subjects who met the definition of recurrence with those who did not, analyzing the following covariates: stage of prolapse using International Continence Society (ICS) definitions, individual pelvic organ prolapse quantification points, age, body mass index, race, exogenous estrogen use, menopause, smoking, vaginal parity, cesarean section, and performance of concomitant procedures. We defined recurrence as any prolapse beyond the hymen. Results: We had 125 women from 3 centers who met our criteria, with 23.2% of them having recurrence at 1 year. We found that recurrence increased as the preoperative ICS stage of prolapse increased (P =

Original languageEnglish (US)
Pages (from-to)156-160
Number of pages5
JournalFemale Pelvic Medicine and Reconstructive Surgery
Volume22
Issue number3
DOIs
StatePublished - May 1 2016

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Keywords

  • failure after sacrocolpopexy
  • preoperative risk factors
  • prolapse recurrence
  • prolapse surgery
  • sacrocolpopexy

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Surgery
  • Urology

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