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Surgical outcomes following total Prolift: Colpopexy versus hysteropexy
Author(s) -
McDERMOTT Colleen D.,
TERRY Colin L.,
WOODMAN Patrick J.,
HALE Douglass S.
Publication year - 2011
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.2010.01258.x
Subject(s) - medicine , retrospective cohort study , surgery , stage (stratigraphy) , gynecology , paleontology , biology
Background: Total Prolift ® is a pelvic floor repair system that is performed transvaginally and can be carried out with or without the uterus in situ . Aim: To compare surgical outcomes following total Prolift colpopexy (TPC) and total Prolift hysteropexy (TPH). Methods: This was a retrospective cohort study of women that underwent TPC ( n = 65) or TPH ( n = 24). Outcomes were compared between groups using Student’s t ‐test, ANCOVA and Fisher’s exact tests ( P ≤ 0.05). Results: There were no significant differences between TPC and TPH for all peri‐operative variables. Patients were followed 6–12 months after surgery. Post‐operatively, TPC patients had significantly higher pelvic organ prolapse – quantification (POP‐Q) point C measurements ( P = 0.05); however, all other POP‐Q measurements were similar, including POP‐Q apical stage of prolapse, with 99% in the TPC group and 92% in the TPH group at stage I or less. Post‐operative mesh erosion, prolapse symptoms, surgical satisfaction, sexual activity and dyspareunia rates did not significantly differ between groups. Conclusions: This study showed that TPC and TPH have similar surgical outcomes, except for vaginal vault measurements reflected by POP‐Q point C.