Archives of Gynecology and Obstetrics

, Volume 287, Issue 6, pp 1159–1165 | Cite as

Risk factors of surgical failure following sacrospinous colpopexy for the treatment of uterovaginal prolapse

  • Ayman Qatawneh
  • Fida Thekrallah
  • Majed Bata
  • Fawaz Al-kazaleh
  • Mahmoud Almustafa
  • Ilham Abu-kader
General Gynecology

Abstract

Purpose

Trans-vaginal sacrospinous colpopexy is one of the surgical procedures used to repair varying degrees of vaginal vault and uterovaginal prolapse. The purpose of this study is to analyse the potential risk factors of surgical failure following sacrospinous colpopexy.

Methods

A retrospective study of 114 women who underwent unilateral sacrospinous colpopexy at Jordan University Hospital from January 2005 to January 2008 were included. Patient demographics, clinical characteristics and concomitant pelvic organ prolapse surgery were assessed. The patients were evaluated at 6 weeks, and every 6 months thereafter. Twelve (11 %) had recurrent apical (vaginal cuff) prolapse, 26 (23 %) had recurrent prolapse at any compartment were compared with those who had successful surgery. Univariate and logistic regression analyses were used to assess the independent prognostic values of the variables associated with surgical failure.

Results

After a mean follow-up of 40 months, the statistically significant predictors of surgical failure included the presence of advanced pre-operative stages of prolapse (stages III and IV), the more distally located points Ba, Bp and C and a lack of mesh augmentation of the anterior vaginal wall during surgery (P = 0.01, 0.027, 0.024, 0.034 and 0.006, respectively). However, a history of prior vaginal repair, the more distally located point Ba and a lack of anterior vaginal wall mesh augmentation were defined as independent predictive variables based on logistic regression analyses (P = 0.04, 0.005 and 0.046, respectively).

Conclusions

The presence of advanced anterior vaginal wall prolapse, prior vaginal repair and a lack of mesh augmentation of the anterior compartment are significant risk factors for the surgical failure of sacrospinous suspension surgery.

Keywords

Recurrence Risk factors Sacrospinous suspension Uterovaginal prolapse 

Notes

Acknowledgments

The authors would like to thank Jordan University Hospital for supporting this research.

Conflict of interest

None.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • Ayman Qatawneh
    • 1
  • Fida Thekrallah
    • 1
  • Majed Bata
    • 1
  • Fawaz Al-kazaleh
    • 1
  • Mahmoud Almustafa
    • 3
  • Ilham Abu-kader
    • 2
  1. 1.Department of Obstetrics and Gynaecology, Faculty of MedicineThe University of JordanAmmanJordan
  2. 2.Jordan University HospitalAmmanJordan
  3. 3.Department of Anesthesia and Intensive Care, Faculty of MedicineThe University of JordanAmmanJordan

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