Long-term results of abdominal sacrocolpopexy

• Published in: American journal of obstetrics and gynecology Vol. 189; no. 6; pp. 1606 - 1610
• Main Authors: Hilger, Wesley S, Poulson, Marilee, Norton, Peggy A
• Format: Journal Article Conference Proceeding
• Language: English
• Published: Philadelphia, PA Mosby, Inc 01-12-2003; Elsevier
• Subjects: Abdominal sacrocolpopexy; Adult; Aged; Biological and medical sciences; Cohort Studies; Female; Follow-Up Studies; Gynecologic Surgical Procedures - adverse effects; Gynecologic Surgical Procedures - methods; Gynecologic Surgical Procedures - statistics & numerical data; Humans; Laparotomy - methods; Laparotomy - statistics & numerical data; long-term follow-up; Medical sciences; Middle Aged; Patient Satisfaction; prolapse; Quality of Life; Risk Assessment; Sensitivity and Specificity; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the genital tract and mammary gland; Surveys and Questionnaires; Time Factors; Treatment Outcome; Uterine Prolapse - diagnosis; Uterine Prolapse - surgery; Abdominal sacrocolpopexy; long-term follow-up; prolapse; Human; Statistical analysis; Treatment efficiency; Vagina; Vaginal diseases; Uterine cervix; Long term; Female genital diseases; Result; Prolapsus; Pelvic floor; Surgical suspension; Surgery; Abdominal route; Female
• ISSN: 0002-9378; 1097-6868
• DOI: 10.1016/j.ajog.2003.10.689

Our purpose was to determine the long-term results after abdominal sacrocolpopexy.
Computer-coded procedure logs identified women who had an abdominal sacrocolpopexy performed from 1985 to 1992. Subjects answered a validated, condition-specific symptom questionnaire, a sexual function questionnaire, and a demographic survey. Failures were defined by reoperation or symptoms. The data were analyzed with use of the Student
t test and the Fisher exact test.
At the time of surgery the subjects (n
=
38) had a mean age of 59.2 years (range 40-77 years), parity 4.03 (1-9), BMI 26.5 (18.6-40.2), and stage of prolapse 2.56 (0-4). The mean follow-up interval was 13.7 years (10-17 years). The total number of failures was 10 (26.3%), 4 (10.5%) because of reoperation and 6 (16%) because of symptoms. Symptom distress scores were low and similar between failures and successes. Twelve subjects were available for examination and most defects were noted in the anterior wall.
This long-term outcome analysis of abdominal sacrocolpopexy found the procedure to be durable with a 74% success rate at a mean follow-up of 13.7 years.