Journal article
Twelve Month Outcomes of Pelvic Organ Prolapse Surgery in Patients With Uterovaginal or Posthysterectomy Vaginal Prolapse Enrolled in the Multicenter Pelvic Floor Disorders Registry
Urogynecology, Vol.29(10), pp.787-799
10/2023
DOI: 10.1097/SPV.0000000000001410
PMID: 37733440
Abstract
Objective The aim of the study was to compare 12-month subjective and objective outcomes between 3 approaches to apical pelvic organ prolapse (POP) surgery in patients presenting with uterovaginal or posthysterectomy vaginal prolapse enrolled in the Pelvic Floor Disorders Registry for Research. Study Design This was an analysis of a multicenter, prospective registry that collected both patient- and physician-reported data for up to 3 years after conservative (pessary) and surgical treatment for POP. Twelve-month subjective and anatomic outcomes for patients who underwent surgical treatment were extracted from the registry for analysis. Pelvic organ prolapse recurrence was defined as a composite outcome and compared between the 3 apical surgery groups (native tissue repair, sacrocolpopexy, colpocleisis) as well as the 2 reconstructive surgery groups (native tissue repair and sacrocolpopexy). Results A total of 1,153 women were enrolled in the registry and 777 (67%) opted for surgical treatment, of whom 641 underwent apical repair and were included in this analysis (404 native tissue repair, 187 sacrocolpopexy, and 50 colpocleisis). The overall incidence of recurrence was as follows: subjective 6.5%, anatomic 4.7%, retreatment 7.2%, and composite 13.6%. The incidence of recurrence was not different between the 3 surgical groups. When baseline patient characteristics were controlled for, composite POP recurrence between the native tissue and sacrocolpopexy groups remained statistically nonsignificant. Concurrent perineorrhaphy with any type of apical POP surgery was associated with a lower risk of recurrence (adjusted odds ratio, 0.43; 95% confidence interval, 0.25–0.74; P = 0.002) and prior hysterectomy was associated with a higher risk (adjusted odds ratio, 1.77, 95% confidence interval, 1.04–3.03; P = 0.036). Conclusion Pelvic Floor Disorders Registry for Research participants undergoing native tissue apical POP repair, sacrocolpopexy, and colpocleisis surgery had similar rates of POP recurrence 12 months after surgery.
Details
- Title: Subtitle
- Twelve Month Outcomes of Pelvic Organ Prolapse Surgery in Patients With Uterovaginal or Posthysterectomy Vaginal Prolapse Enrolled in the Multicenter Pelvic Floor Disorders Registry
- Creators
- Cecile A. Ferrando - Cleveland ClinicCatherine S. Bradley - University of IowaLeslie A. Meyn - Magee-Womens Research InstituteHeidi W. Brown - Institute for Female Pelvic Medicine and Reconstructive SurgeryPamela A. Moalli - Magee-Womens Research InstituteChristine A. Heisler - Institute for Female Pelvic Medicine and Reconstructive SurgeryShivani M. Murarka - Vanderbilt University Medical CenterRaymond T. Foster - University of MissouriDoreen E. Chung - Columbia UniversityEmily L. Whitcomb - Institute for Female Pelvic Medicine and Reconstructive SurgeryRobert E. Gutman - MedStar Washington Hospital CenterUduak U. Andy - University of PennsylvaniaStuart H. Shippey - Sacred Heart Health SystemJennifer Anger - UC San Diego Health SystemLadin A. Yurteri-Kaplan - Columbia University
- Resource Type
- Journal article
- Publication Details
- Urogynecology, Vol.29(10), pp.787-799
- DOI
- 10.1097/SPV.0000000000001410
- PMID
- 37733440
- ISSN
- 2771-1897
- eISSN
- 2771-1897
- Language
- English
- Date published
- 10/2023
- Academic Unit
- Epidemiology; Obstetrics and Gynecology; Urology
- Record Identifier
- 9984472535702771
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