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Vaginal cystocele repair and hysteropexy in women with anterior and central compartment prolapse: efficacy and safety after 30 months of follow-up.
Int Urogynecol J. 2018 Jun; 29(6):831-836.IU

Abstract

INTRODUCTION AND HYPOTHESIS

The aim of this study was to assess the safety and efficacy of vaginal native tissue repair and uterine suspension after a follow-up of at least 1 year.

METHODS

We included all consecutive women with an anterior vaginal prolapse of stage II or higher and a concomitant uterine prolapse of stage II who underwent this surgical procedure. We considered women with a descensus with maximum point of less than -1 in any compartment as objectively cured. Overall success was defined as no prolapse symptoms, together with a Patient Global Impression of Improvement (PGI-I) score of 2 or less, prolapse of stage lower than II, and no need for other surgery.

RESULTS

A total of 102 patients underwent this surgical procedure during the study period and met all the inclusion criteria for statistical analysis. The mean follow-up was 31 ± 8.2 months; no patient was lost to follow-up. Five patients (4.9%) showed postoperative complications. In terms of subjective outcomes, at the last available follow-up, failure of this surgical procedure was seen in 2% of patients. The objective cure rate and the overall cure rate were the 95.1%. No significant deterioration in objective cure rates was observed over time (p = 0.6).

CONCLUSIONS

Vaginal repair and hysteropexy appear to be an effective and safe option for women with advanced uterovaginal prolapse.

Authors+Show Affiliations

Department Obstetrics and Gynecology, Urogynecolgy Unit, University of Insubria, Piazza Biroldi 1, 21100, Varese, Italy. mauserati@hotmail.com.Department of Obstetrics and Gynecology, EOC - Beata Vergine Hospital, Mendrisio, Switzerland.Department Obstetrics and Gynecology, Urogynecolgy Unit, University of Insubria, Piazza Biroldi 1, 21100, Varese, Italy.Department of Obstetrics and Gynecology, EOC - Beata Vergine Hospital, Mendrisio, Switzerland.Department Obstetrics and Gynecology, Urogynecolgy Unit, University of Insubria, Piazza Biroldi 1, 21100, Varese, Italy.Department Obstetrics and Gynecology, Urogynecolgy Unit, University of Insubria, Piazza Biroldi 1, 21100, Varese, Italy.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29064031

Citation

Serati, Maurizio, et al. "Vaginal Cystocele Repair and Hysteropexy in Women With Anterior and Central Compartment Prolapse: Efficacy and Safety After 30 Months of Follow-up." International Urogynecology Journal, vol. 29, no. 6, 2018, pp. 831-836.
Serati M, Braga A, Cantaluppi S, et al. Vaginal cystocele repair and hysteropexy in women with anterior and central compartment prolapse: efficacy and safety after 30 months of follow-up. Int Urogynecol J. 2018;29(6):831-836.
Serati, M., Braga, A., Cantaluppi, S., Caccia, G., Ghezzi, F., & Sorice, P. (2018). Vaginal cystocele repair and hysteropexy in women with anterior and central compartment prolapse: efficacy and safety after 30 months of follow-up. International Urogynecology Journal, 29(6), 831-836. https://doi.org/10.1007/s00192-017-3498-x
Serati M, et al. Vaginal Cystocele Repair and Hysteropexy in Women With Anterior and Central Compartment Prolapse: Efficacy and Safety After 30 Months of Follow-up. Int Urogynecol J. 2018;29(6):831-836. PubMed PMID: 29064031.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Vaginal cystocele repair and hysteropexy in women with anterior and central compartment prolapse: efficacy and safety after 30 months of follow-up. AU - Serati,Maurizio, AU - Braga,Andrea, AU - Cantaluppi,Simona, AU - Caccia,Giorgio, AU - Ghezzi,Fabio, AU - Sorice,Paola, Y1 - 2017/10/24/ PY - 2017/08/02/received PY - 2017/10/05/accepted PY - 2017/10/25/pubmed PY - 2019/1/18/medline PY - 2017/10/25/entrez KW - Cystocele KW - Hysteropexy KW - Pelvic organ prolapse (POP) KW - Transverse cystocele repair SP - 831 EP - 836 JF - International urogynecology journal JO - Int Urogynecol J VL - 29 IS - 6 N2 - INTRODUCTION AND HYPOTHESIS: The aim of this study was to assess the safety and efficacy of vaginal native tissue repair and uterine suspension after a follow-up of at least 1 year. METHODS: We included all consecutive women with an anterior vaginal prolapse of stage II or higher and a concomitant uterine prolapse of stage II who underwent this surgical procedure. We considered women with a descensus with maximum point of less than -1 in any compartment as objectively cured. Overall success was defined as no prolapse symptoms, together with a Patient Global Impression of Improvement (PGI-I) score of 2 or less, prolapse of stage lower than II, and no need for other surgery. RESULTS: A total of 102 patients underwent this surgical procedure during the study period and met all the inclusion criteria for statistical analysis. The mean follow-up was 31 ± 8.2 months; no patient was lost to follow-up. Five patients (4.9%) showed postoperative complications. In terms of subjective outcomes, at the last available follow-up, failure of this surgical procedure was seen in 2% of patients. The objective cure rate and the overall cure rate were the 95.1%. No significant deterioration in objective cure rates was observed over time (p = 0.6). CONCLUSIONS: Vaginal repair and hysteropexy appear to be an effective and safe option for women with advanced uterovaginal prolapse. SN - 1433-3023 UR - https://www.unboundmedicine.com/medline/citation/29064031/Vaginal_cystocele_repair_and_hysteropexy_in_women_with_anterior_and_central_compartment_prolapse:_efficacy_and_safety_after_30_months_of_follow-up L2 - https://dx.doi.org/10.1007/s00192-017-3498-x DB - PRIME DP - Unbound Medicine ER -