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Wide genital hiatus is a risk factor for recurrence following anterior vaginal repair
Author(s) -
Medina Carlos A.,
Candiotti Keith,
Takacs Peter
Publication year - 2008
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2007.11.008
Subject(s) - hiatus , medicine , sex organ , surgery , odds ratio , risk factor , vagina , philosophy , linguistics , genetics , biology
Objective To determine if a wide genital hiatus is a risk factor for recurrence of anterior vaginal wall prolapse following anterior vaginal repair. Methods A retrospective cohort study was performed on patients who had undergone an anterior vaginal wall repair. Patients were placed into 1 of 2 groups: wide genital hiatus (≥ 5 cm) or normal genital hiatus (< 5 cm). The wide genital hiatus group ( n = 35) was compared with the normal genital hiatus group ( n = 30) for surgical failure. Results There were no significant differences between the 2 groups in demographic data, additional operative procedures, or apical suspensions. The rate of postoperative anterior vaginal wall prolapse was greater in patients with a wide genital hiatus compared with those with a normal genital hiatus (34.3% vs 10% respectively; odds ratio 4.7 [95% confidence interval, 1.0–24.1]; P = 0.02). Conclusion The rate of recurrent anterior vaginal wall prolapse is higher in patients with a wide genital hiatus.