International Urogynecology Journal

, Volume 14, Issue 5, pp 350–355

Sacrospinous hysteropexy compared to vaginal hysterectomy as primary surgical treatment for a descensus uteri: effects on urinary symptoms

  • H. J. van Brummen
  • G. van de Pol
  • C. I. M. Aalders
  • A. P. M. Heintz
  • C. H. van der Vaart
Original Article

Abstract

One hundred and three women underwent sacrospinous hysteropexy (n=54) or vaginal hysterectomy with a vaginal vault suspension (n=49) for the management of descensus uteri. They were sent a postal questionnaire. Logistic regression analysis was used to obtain crude and adjusted odds ratios. Seventy-four (72%) women responded. The adjusted odds ratios for urge incontinence is 3.4 (1.0–12.3) and for overactive bladder 2.9 (0.5–16.9) greater after vaginal hysterectomy. The women recovered significantly more quickly after sacrospinous hysteropexy. There were no differences in anatomical outcome or recurrence rate. When performed to correct a descensus uteri of grade 2 or more we found that vaginal hysterectomy is associated with a three times higher risk for urge incontinence and overactive bladder symptoms. In addition, the women who underwent sacrospinous hysteropexy also reported a quicker recovery from surgery. Sacrospinous hysteropexy, therefore, appears to be promising for the correction of descensus uteri.

Keywords

Correction of descensus uteri Micturition symptoms Sacrospinous hysteropexy Vaginal hysterectomy. 

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Copyright information

© International Urogynecological Association 2003

Authors and Affiliations

  • H. J. van Brummen
    • 1
  • G. van de Pol
    • 2
  • C. I. M. Aalders
    • 2
  • A. P. M. Heintz
    • 1
  • C. H. van der Vaart
    • 1
  1. 1.Department of Obstetrics and GynecologyUniversity Medical Center UtrechtUtrechtThe Netherlands
  2. 2.Department of Obstetrics and GynecologyRijnstate HospitalArnhemThe Netherlands

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