Posterior Compartment Prolapse Occurrence After Anterior Vaginal Wall Suspension

Rena D. Malik, Alana L. Christie, Philippe E Zimmern

Research output: Contribution to journalArticle

Abstract

Objective: To determine the long-term rate of posterior compartment prolapse (PCP) occurrence after native tissue repair of the anterior compartment with anterior vaginal wall suspension (AVWS) procedure. Methods: An institutional review board approved surgical prolapse database was reviewed for women who underwent AVWS for any degree of anterior compartment prolapse with minimum of 6-month follow-up and no history of apical or posterior compartment repair. Demographic data, smoking status, parity, and uterine status were collected. The primary outcome was need for secondary PCP repair. Results: A total of 300 women met inclusion criteria with a mean age of 63.8 ± 10.8 years, mean BMI of 26.1 ± 6.2 kg/m2, and a mean parity of 2.5 ± 1.4. At the time of AVWS 46 women (15%) had uterine-sparing AVWS, 74 (25%) had concomitant hysterectomy, and 180 (60%) had prior hysterectomy. Forty-eight women (16%) had secondary posterior compartment repair for PCP (60% abdominal route, 40% done vaginally) over a mean follow-up of 7.1 ± 4.4 years. Conclusion: At long-term follow-up, less than 20% of women undergoing AVWS underwent PCP repair.

Original languageEnglish (US)
JournalUrology
DOIs
StateAccepted/In press - Jan 1 2019

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Prolapse
Suspensions
Parity
Hysterectomy
Research Ethics Committees
Smoking
Demography
Databases

ASJC Scopus subject areas

  • Urology

Cite this

Posterior Compartment Prolapse Occurrence After Anterior Vaginal Wall Suspension. / Malik, Rena D.; Christie, Alana L.; Zimmern, Philippe E.

In: Urology, 01.01.2019.

Research output: Contribution to journalArticle

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abstract = "Objective: To determine the long-term rate of posterior compartment prolapse (PCP) occurrence after native tissue repair of the anterior compartment with anterior vaginal wall suspension (AVWS) procedure. Methods: An institutional review board approved surgical prolapse database was reviewed for women who underwent AVWS for any degree of anterior compartment prolapse with minimum of 6-month follow-up and no history of apical or posterior compartment repair. Demographic data, smoking status, parity, and uterine status were collected. The primary outcome was need for secondary PCP repair. Results: A total of 300 women met inclusion criteria with a mean age of 63.8 ± 10.8 years, mean BMI of 26.1 ± 6.2 kg/m2, and a mean parity of 2.5 ± 1.4. At the time of AVWS 46 women (15{\%}) had uterine-sparing AVWS, 74 (25{\%}) had concomitant hysterectomy, and 180 (60{\%}) had prior hysterectomy. Forty-eight women (16{\%}) had secondary posterior compartment repair for PCP (60{\%} abdominal route, 40{\%} done vaginally) over a mean follow-up of 7.1 ± 4.4 years. Conclusion: At long-term follow-up, less than 20{\%} of women undergoing AVWS underwent PCP repair.",
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