One-year follow-up after sacrospinous hysteropexy and vaginal hysterectomy for uterine descent: a randomized study
Introduction and hypothesis
In a retrospective study, the sacrospinous hysteropexy was associated with a shorter recovery time compared to a vaginal hysterectomy with no differences in anatomical outcomes. No randomized trials are performed.
Sixty-six women with stage 2–4 uterine descent were randomized for vaginal hysterectomy(31) or sacrospinous hysteropexy(35). Recovery time, anatomical outcomes, functional outcomes, and quality of life were measured.
Length of time to return to work was shorter after a sacrospinous hysteropexy (43 versus 66 days, p = 0.02). The difference in risk for recurrent prolapse stage 2 or more of the apical compartment at 1-year follow-up was 17% (95% confidence interval, 2 to 30) in favor of the vaginal hysterectomy. No differences in quality of life and urogenital symptoms were found.
The sacrospinous hysteropexy for uterine descent is associated with an earlier recovery time, more recurrent apical prolapses but no differences in functional outcomes, and quality of life.
- One-year follow-up after sacrospinous hysteropexy and vaginal hysterectomy for uterine descent: a randomized study
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- Available under Open Access This content is freely available online to anyone, anywhere at any time.
International Urogynecology Journal
Volume 21, Issue 2 , pp 209-216
- Cover Date
- Print ISSN
- Online ISSN
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- Anatomical outcomes
- Pelvic organ prolapse
- Quality of life
- Recovery time
- Sacrospinous hysteropexy
- Vaginal hysterectomy
- Industry Sectors
- Author Affiliations
- 1. Department of Obstetrics and Gynecology, Catharina Medical Center, Michelangelolaan 2, 5623, Eindhoven, The Netherlands
- 2. Department of Perinatology and Gynecology, University Medical Center Utrecht, Utrecht, The Netherlands
- 3. Julius Center of Health Science and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands
- 4. Department of Obstetrics and Gynecology, Meander Medical Center, Amersfoort, The Netherlands