Bilateral sacrospinous vault fixation with tailored synthetic mesh arms: clinical outcomes at one year

Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC
Roxana GeoffrionG W Cundiff

Abstract

Bilateral sacrospinous fixation with tailored mesh arms (bSSVF) uses polypropylene mesh to suspend the vault to the sacrospinous ligaments bilaterally with minimal tension, recreating nulliparous midline anatomy. It can be used with uterine conservation. Our primary objective was to determine objective cure rate at one year following bSSVF compared with a control group undergoing abdominal sacrocolpopexy (ASC). Secondary objectives were to compare symptoms, quality of life, sexual function, pain, and global satisfaction before and after surgery and between bSSVF and ASC groups at one year. This prospective cohort study enrolled patients with symptomatic prolapse who chose to undergo bSSVF or ASC. Baseline demographics were obtained. Prolapse quantification, validated symptom questionnaire scores, and McGill pain scores were obtained at baseline, six weeks, and one-year postoperatively. Global satisfaction was recorded. The primary outcome measure was the difference in cure rate (vault stage ≤ 1) between groups. Fifty patients were recruited: 30 underwent bSSVF and 17 ASC. Forty-three patients were available for one-year follow-up. Baseline data were similar. There was no difference in vault stage between bSSVF and ASC groups at...Continue Reading

Citations

Jan 19, 2017·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Yisong Chen, Keqin Hua
Feb 23, 2020·Female Pelvic Medicine & Reconstructive Surgery
Feb 11, 2020·International Urogynecology Journal·UNKNOWN Developed by the Joint Writing Group of the American Urogynecologic Society and the International Urogynecological Associati
Aug 22, 2021·Obstetrics and Gynecology Clinics of North America·Danielle D Antosh, Nadia N Megahed
Jun 5, 2021·American Journal of Obstetrics and Gynecology·Danielle D AntoshRebecca G Rogers

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