Journal article
Surgical Management of Pelvic Organ Prolapse in Ethiopian Women: What Is the Preferred Approach?
Female pelvic medicine & reconstructive surgery, Vol.26(2), pp.E7-E12
02/01/2020
DOI: 10.1097/SPV.0000000000000836
PMID: 31990807
Abstract
Objectives
The aim of this study was to determine the most effective approach to surgical repair of pelvic organ prolapse for Ethiopian women and to characterize this population.
Methods
This is a prospective cohort study of women presenting for prolapse repair. Demographics and assessments of prolapse were obtained preoperatively. Information surrounding the surgical encounter was collected. The same anatomic and symptomatic measures were ascertained postoperatively. Information regarding surgical complications was collected.
Results
Two hundred thirty-three women with stage III or IV prolapse underwent surgical prolapse repair between March 2015 and November 2017. Seventy-eight of these women participated with a median length of follow-up of 255 days. All of the sacrocolpopexy patients (n = 21) and 56 of 57 vaginal repair patients had follow-up anatomic data. Anatomic failure as defined by Pelvic Organ Prolapse-Quantification (Ba, C, or Bp > 0) occurred in 0% (0/21) of sacrocolpopexy patients and 34% (19/56) of vaginal repair patients (P = 0.005). Symptomatic failure, as defined by self-reported recurrence of vaginal bulge, occurred in 0% (0/21) of sacrocolpopexy patients and 23% (13/56) of vaginal repair patients (P = 0.015). A global assessment of improvement (worse, same, or improved) revealed that 100% (21/21) of sacrocolpopexy patients reported improvement, whereas 91% (50/55) of vaginal repair patients reported improvement, 7% (4/55) reported being the same, and 2% (1/55) reported being worse. There were 2 intraoperative complications and 3 postoperative complications. There were no cases of mesh erosion.
Conclusions
Although both vaginal and abdominal routes of prolapse surgery seem to be safe, an abdominal approach with mesh augmentation may be the preferred surgical repair in Ethiopian women.
Details
- Title: Subtitle
- Surgical Management of Pelvic Organ Prolapse in Ethiopian Women: What Is the Preferred Approach?
- Creators
- Kimberly Kenne - University of IowaMelaku Abreha - Hamlin Fistula EthiopiaKyle D. Hart - Oregon Health & Science UniversityW. Thomas Gregory - Oregon Health & Science UniversityRahel Nardos - Kaiser Permanente
- Resource Type
- Journal article
- Publication Details
- Female pelvic medicine & reconstructive surgery, Vol.26(2), pp.E7-E12
- Publisher
- Lippincott Williams & Wilkins
- DOI
- 10.1097/SPV.0000000000000836
- PMID
- 31990807
- ISSN
- 2151-8378
- eISSN
- 2154-4212
- Number of pages
- 6
- Grant note
- Worldwide Fistula Fund, Tartar Trust Fellowship
- Language
- English
- Date published
- 02/01/2020
- Academic Unit
- Obstetrics and Gynecology
- Record Identifier
- 9984318224202771
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