International Urogynecology Journal

, Volume 21, Issue 3, pp 279–283

Anatomic outcomes of abdominal sacrocolpopexy with or without paravaginal repair

  • Stuart H. Shippey
  • Lieschen H. Quiroz
  • Tatiana V. D. Sanses
  • Leise R. Knoepp
  • Geoffrey W. Cundiff
  • Victoria L. Handa
Original Article

DOI: 10.1007/s00192-009-1013-8

Cite this article as:
Shippey, S.H., Quiroz, L.H., Sanses, T.V.D. et al. Int Urogynecol J (2010) 21: 279. doi:10.1007/s00192-009-1013-8

Abstract

Introduction and hypothesis

We sought to compare rates of recurrent cystocele following sacrocolpopexy with and without paravaginal repair (PVR).

Methods

This retrospective cohort study compared outcomes for patients undergoing sacrocolpopexy with (group A) and without (group B) concomitant PVR. Defining anterior failure as point Ba ≥ −1 cm, we compared anatomic outcomes and reoperation rates for recurrence of cystocele.

Results

One hundred seventy patients undergoing sacrocolpopexy had anterior wall prolapse at or beyond the hymen before surgery (62 in group A and 108 in group B). Ten (16.1%) patients in group A and 29 (26.9%) in group B experienced anterior wall prolapse to or beyond −1 cm (p = 0.13, power 0.38). Among these groups, one (1.6%) and five (4.6%) underwent reoperation for cystocele recurrence (p = 0.42, power <0.3).

Conclusions

Despite the trend toward improved clinical outcomes, we were unable to detect a statistically significant difference with inclusion of PVR with sacrocolpopexy.

Keywords

CystoceleParavaginal repairSacrocolpopexy

Abbreviations

PVR

Paravaginal repair

POPQ

Pelvic organ prolapse quantification

ICS

International Continence Society

Copyright information

© The International Urogynecological Association 2009

Authors and Affiliations

  • Stuart H. Shippey
    • 1
  • Lieschen H. Quiroz
    • 2
  • Tatiana V. D. Sanses
    • 3
  • Leise R. Knoepp
    • 4
  • Geoffrey W. Cundiff
    • 5
  • Victoria L. Handa
    • 4
  1. 1.Department of Gynecology and ObstetricsJohns Hopkins Bayview Medical CenterBaltimoreUSA
  2. 2.Department of Obstetrics and GynecologyOklahoma University Health Sciences CenterOklahoma CityUSA
  3. 3.Department of GynecologyGreater Baltimore Medical CenterBaltimoreUSA
  4. 4.Department of Gynecology and ObstetricsJohns Hopkins University School of MedicineBaltimoreUSA
  5. 5.Department of Obstetrics and GynecologyUniversity of British ColumbiaVancouverCanada