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 language | English (US) |
|---|---|
| Journal | Urology |
| DOIs | |
| State | Accepted/In press - Jan 1 2019 |
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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 journal › Article
}
TY - JOUR
T1 - Posterior Compartment Prolapse Occurrence After Anterior Vaginal Wall Suspension
AU - Malik, Rena D.
AU - Christie, Alana L.
AU - Zimmern, Philippe E
PY - 2019/1/1
Y1 - 2019/1/1
N2 - 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.
AB - 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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UR - http://www.scopus.com/inward/citedby.url?scp=85072195939&partnerID=8YFLogxK
U2 - 10.1016/j.urology.2019.08.010
DO - 10.1016/j.urology.2019.08.010
M3 - Article
C2 - 31425682
AN - SCOPUS:85072195939
JO - Urology
JF - Urology
SN - 0090-4295
ER -