Anatomic and functional assessment and risk factors of recurrent prolapse after vaginal sacrospinous fixation

Acta Obstetricia Et Gynecologica Scandinavica
Kari NieminenP K Heinonen

Abstract

To identify risk factors in recurrence and to evaluate anatomic and functional results of vaginal sacrospinous ligament fixation and pelvic floor reconstruction for genital prolapse. One hundred and thirty-eight women underwent surgery for uterovaginal or vault prolapse. Follow-up data were available for 122 cases; 83% were examined and others were interviewed by telephone. The median (range) follow-up was 24 (1-141) months. Cox regression was used to identify risk factors associated with recurrence; uni- and multivariate regression was used to identify risk factors underlying postoperative infections because infections were found to be a risk factor of recurrence. Recurrence-free survival was estimated using the Kaplan-Meier method. Seven (5%) patients suffered severe cardiopulmonary complications including one postoperative death due to a pulmonary embolism. Twenty-six (21%) patients suffered a recurrence, 14 with cystocele. Ten patients with recurrence were symptomatic and six underwent a re-operation. The Cox regression model showed that vaginal cuff infection raised the odds ratio (OR) for recurrence to 6.13 [confidence interval (CI) 1.80-20.83] and urinary tract infection to 3.65 (CI 1.40-9.47). In both uni- and multivari...Continue Reading

References

Jul 1, 1992·Acta Obstetricia Et Gynecologica Scandinavica·P K Heinonen
Apr 1, 1991·American Journal of Obstetrics and Gynecology·S H Cruikshank
Apr 1, 1988·American Journal of Obstetrics and Gynecology·G W Morley, J O DeLancey
Apr 1, 1982·American Journal of Obstetrics and Gynecology·D H Nichols
Dec 1, 1994·American Journal of Obstetrics and Gynecology·R F Porges, S W Smilen
Aug 1, 1993·American Journal of Obstetrics and Gynecology·F T GivenG M Browning
Jul 1, 1996·American Journal of Obstetrics and Gynecology·R C BumpA R Smith
Mar 1, 1997·Obstetrics and Gynecology·E H Sze, M M Karram
Jan 27, 1998·British Journal of Obstetrics and Gynaecology·P Toozs-HobsonL Cardozo
Dec 17, 1998·American Journal of Obstetrics and Gynecology·S W SmilenR F Porges
Aug 21, 2001·BJOG : an International Journal of Obstetrics and Gynaecology·K Nieminen, P K Heinonen

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Citations

May 6, 2005·International Urogynecology Journal and Pelvic Floor Dysfunction·Joseph M Montella, Michelle Y Morrill
Mar 27, 2007·International Urogynecology Journal and Pelvic Floor Dysfunction·Viviane DietzHuub van der Vaart
Oct 12, 2007·International Urogynecology Journal and Pelvic Floor Dysfunction·Myung Jae JeonSang Wook Bai
May 30, 2008·International Urogynecology Journal and Pelvic Floor Dysfunction·Emma HawkinsMohammad Masood
Feb 26, 2011·International Urogynecology Journal·Ellen J M LensenMark E Vierhout
Oct 7, 2011·International Urogynecology Journal· Benjamin Feiner Christopher Maher
Oct 22, 2013·International Urogynecology Journal·Matthew D Barber, Christopher Maher
Dec 28, 2012·Archives of Gynecology and Obstetrics·Ayman QatawnehIlham Abu-Kader
Jan 5, 2010·European Journal of Obstetrics, Gynecology, and Reproductive Biology·T A de BoerM E Vierhout
Oct 27, 2004·Gynécologie, obstétrique & fertilité·J-P EstradeL Cravello
Oct 19, 2012·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·C SouviatA Pigné
Aug 11, 2005·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·S AllahdinB A Reid
Dec 9, 2009·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·P DebodinanceJ-P Lucot
Dec 9, 2009·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·B FattonP Costa
Sep 23, 2008·The Journal of Urology·Franca NataleMauro Cervigni
Apr 29, 2008·Journal of Minimally Invasive Gynecology·Peter L RosenblattTanaz R Ferzandi
Sep 18, 2007·Gynécologie, obstétrique & fertilité·P von Theobald, E Labbé
Feb 11, 2011·Acta Obstetricia Et Gynecologica Scandinavica·Eckhard Petri, Kiran Ashok
May 30, 2006·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Emmanuel David-MontefioreEmile Daraï
Dec 27, 2005·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Mohamed A Hefni, Tarek A El-Toukhy
Sep 28, 2005·Best Practice & Research. Clinical Obstetrics & Gynaecology·Chahin Achtari, Peter L Dwyer
Nov 4, 2008·American Journal of Obstetrics and Gynecology·Joye K LowmanDouglass S Hale
Nov 18, 2004·American Journal of Obstetrics and Gynecology·James L WhitesideMark D Walters
Mar 15, 2015·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Anke R MothesIngo B Runnebaum
May 13, 2011·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Pentti K Heinonen, Kari Nieminen
Feb 12, 2008·Annales D'urologie·B FattonB Jacquetin
Jul 6, 2016·International Urogynecology Journal·Sharif IsmailChristian Phillips
Sep 14, 2016·Maturitas·Angie RantellDudley Robinson
Sep 7, 2016·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·M CayracB Fatton
Aug 11, 2019·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Giuseppe DeoMatteo Frigerio
Oct 31, 2019·Female Pelvic Medicine & Reconstructive Surgery·UNKNOWN American College of Obstetricians and Gynecologists and the American Urogynecologic Society, UNKNOWN INTERIM UPDATE: This Practice Bulletin is updated as highlighted to reflect the US Food and Drug Administration order to sto
Oct 28, 2017·Female Pelvic Medicine & Reconstructive Surgery
Sep 21, 2019·Obstetrics & Gynecology Science·Myung Jae Jeon
Nov 17, 2015·Female Pelvic Medicine & Reconstructive Surgery·Muhammad F AslamWilliam T Gregory
Nov 19, 2014·Korean journal of urology·Kyung Hwa Choi, Jae Yup Hong
Jun 27, 2017·Female Pelvic Medicine & Reconstructive Surgery
Aug 18, 2017·International Urogynecology Journal·Stefano ManodoroRodolfo Milani
Jan 31, 2007·Neurourology and Urodynamics·Swati Jha, Paul A Moran
Sep 19, 2017·International Urogynecology Journal·Brian J LinderEmanuel C Trabuco
Sep 1, 2018·Neurourology and Urodynamics·Lindsay M KissaneHolly E Richter
Oct 16, 2003·Current Opinion in Urology·Karl-Dietrich Sievert
Oct 25, 2017·Obstetrics and Gynecology·UNKNOWN Committee on Practice Bulletins-Gynecology, American Urogynecologic Society
Jun 9, 2017·Current Opinion in Obstetrics & Gynecology·Omar ZwainDavid Eisenstein
Jun 2, 2007·Obstetrics and Gynecology·Daniel M MorganJohn O Delancey
Aug 13, 2011·Current Opinion in Obstetrics & Gynecology·Tajnoos YazdanyNarender N Bhatia

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