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Identification of risk factors for genital prolapse recurrence
Author(s) -
Salvatore Stefano,
Athanasiou Stavros,
Digesu G. Alessandro,
Soligo Marco,
Sotiropoulou Myrtia,
Serati Maurizio,
Antsaklis Aris,
Milani Rodolfo
Publication year - 2009
Publication title -
neurourology and urodynamics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 90
eISSN - 1520-6777
pISSN - 0733-2467
DOI - 10.1002/nau.20639
Subject(s) - medicine , sex organ , uterine prolapse , surgery , stage (stratigraphy) , hysterectomy , reconstructive surgery , gynecology , paleontology , genetics , biology
Aims To assess the relationship between prolapse recurrence and some risk factors in a group of women submitted to reconstructive pelvic surgery. Methods Women referred to our Urogynaecological Units complaining of prolapse symptoms were prospectively included. We excluded women who were affected by apical vaginal prolapse >stage I after a previous hysterectomy. All women had pelvic surgery with traditional techniques without using grafts. Each woman was reassessed at 1, 6, and 12 months and then yearly postoperatively. We defined as prolapse recurrence a vaginal descent ≥II stage involving the operated compartments. Results A total of 360 consecutive women were recruited and submitted to vaginal reconstructive pelvic surgery. At a mean follow‐up of 26 months, 36 women (10%) had a recurrent prolapse. A preoperative vaginal descent ≥III stage was the only significant risk factor for recurrence ( P = 0.02, OR 2.4, 1.1–5.1 95% CI). Conclusions Women with prolapse ≥III stage had a significant higher risk of developing prolapse recurrence after surgical repair without grafts. Neurourol. Urodynam. 28:301–304, 2009. © 2009 Wiley‐Liss, Inc.