Sacrocolpopexy without concomitant posterior repair improves posterior compartment defects

Maryam Guiahi, Kimberly Kenton*, Linda Brubaker

*Corresponding author for this work

Research output: Contribution to journalArticle

23 Scopus citations

Abstract

The aim of this study is to determine posterior compartment topography 1-year after sacrocolpopexy (SC). Women who had SC without concomitant anterior or posterior repairs for symptomatic pelvic organ prolapse (POP) were included. Vaginal topography was assessed at baseline and 1-year postoperatively using POP quantification (POPQ). At baseline, 24% had stage IV POP, 68% stage III, and 8% stage II. One year after surgery, 75% had stage 0/I POP, 24% stage II, and 1% stage III. 112 (75%) were objectively cured (stage 0 or I POP). Anterior compartment was the most common site of POP persistence or recurrence (Ba ≥ stage II in 23 women) followed by posterior compartment (Bp ≥ stage II in 12 women) and apex (C ≥ stage II in 2 women). In 1-year follow-up, SC without concomitant posterior repair restores posterior vaginal topography in the majority of women with undergoing SC.

Original languageEnglish (US)
Pages (from-to)1267-1270
Number of pages4
JournalInternational Urogynecology Journal
Volume19
Issue number9
DOIs
StatePublished - 2008

Keywords

  • Pelvicorgan prolapse
  • Posterior compartment
  • Rectocele
  • Sacrocolpopexy

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Urology

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