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Feasibility of combining pelvic reconstruction with gynecologic oncology-related surgery

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Abstract

Introduction and hypothesis

At our institution, every patient seen by the gynecologic oncology service is screened for pelvic floor dysfunction. This study was aimed at determining if a combined surgical approach by gynecologic oncology and urogynecology services at our institution was feasible and safe for this patient population.

Methods

We performed a retrospective review of patients undergoing combined surgery by gynecologic oncology and urogynecology services at our institution from 2013 to 2021. Perioperative variables, postoperative adverse events, and long-term outcomes were assessed, and descriptive statistics were performed.

Results

From 20 December 2013 to 29 January 2021, a total of 102 patients underwent concurrent surgical repair of pelvic organ prolapse and/or stress urinary incontinence. Seventy-three patients (71.6%) had normal/benign pathologic conditions, and 29 (28.4%) had premalignant/malignant pathologic conditions. Ten patients (9.8%) had a postoperative complication, including reoperation for exposed midurethral sling (4.9%), urinary retention requiring midurethral sling release (2.9%), reoperation for hemoperitoneum (1.0%), and anemia requiring blood transfusion (1.0%). Nine complications occurred in patients with benign/normal pathologic conditions (12.3%), and one complication occurred in patients with pre-malignant/malignant pathologic conditions (3.4%).

Conclusions

In our single-institution experience, concurrent gynecologic oncology and pelvic floor reconstructive surgery were safe and feasible in combination with no reported major morbidity events.

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Abbreviations

PFD:

Pelvic floor dysfunction

POP:

Pelvic organ prolapse

QoL:

Quality of life

SUI:

Stress urinary incontinence

UI:

Urinary incontinence

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Acknowledgements

We would like to thank student, Chikezie Okeiyi, for assisting in data collection for this project.

Funding

This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

  1. Department of Surgery, Division of Gynecologic Oncology, City of Hope Comprehensive Cancer Center, 1500 E. Duarte Road, Duarte, CA, 91010, USA

    Adrian Kohut, Taylor Whitaker, Logan Walter, Susan Y. Li, Elinor Han, Stephen Lee, Mark T. Wakabayashi, Thanh H. Dellinger, Ernest S. Han, Lorna Rodriguez-Rodriguez & Christopher Chung

Authors
  1. Adrian Kohut
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  2. Taylor Whitaker
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  3. Logan Walter
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  6. Stephen Lee
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  7. Mark T. Wakabayashi
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Contributions

A. Kohut: protocol and project development, data collection and management, data analysis, manuscript writing, and editing; T. Whitaker: manuscript writing and editing; L. Walter: data collection and management; S.Y. Li: data collection and management; E. Han: data collection and management; S. Lee: protocol and project development, data analysis, manuscript writing, and editing; M.T. Wakabayashi: protocol and project development, data analysis, manuscript writing, and editing; T.H. Dellinger: protocol and project development, data analysis, manuscript writing, and editing; E.S. Han: protocol and project development, data analysis, manuscript writing, and editing; L. Rodriguez-Rodriguez: protocol and project development, data analysis, manuscript writing, and editing; C. Chung: protocol and project development, data collection and management, data analysis, manuscript writing, and editing.

Corresponding author

Correspondence to Adrian Kohut.

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Kohut, A., Whitaker, T., Walter, L. et al. Feasibility of combining pelvic reconstruction with gynecologic oncology-related surgery. Int Urogynecol J 34, 177–183 (2023). https://doi.org/10.1007/s00192-022-05212-7

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  • DOI: https://doi.org/10.1007/s00192-022-05212-7

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