Uterosacral Ligament Suspension Versus Robotic Sacrocolpopexy for Treatment of Apical Pelvic Organ Prolapse

Female Pelvic Medicine & Reconstructive Surgery
Benjamin C SmithRachel N Pauls

Abstract

The aim of the study was to compare long-term outcomes of uterosacral ligament suspension (USLS) versus robotic sacrocolpopexy (RSC) in patients with pelvic organ prolapse. This was an institutional review board-approved retrospective cohort study. Women 3 to 7 years after USLS or RSC were contacted for enrollment. Participants were asked to complete validated questionnaires and physical examinations. The primary outcomes were no symptoms of bulge or retreatment for prolapse (subjective) and POP-Q examination demonstrating prolapse above or equal to -1 (objective). For the subjective outcome, a noninferiority calculation with 10% noninferiority margin deemed 91 subjects in each group were required. We identified the following 770 eligible subjects: 205 were contacted, 19 declined, 186 subjects agreed to participate, and 2 were excluded. There were 92 subjects per group in the analysis for the primary subjective outcome, and 84% underwent examinations for the objective outcome. Baseline characteristics were overall similar; however, previous prolapse surgery was more common in the RSC group (P < 0.001). Subjective success was achieved in 83 subjects in the USLS group and 78 subjects in the RSC group (90.2% vs 84.4%, respectively...Continue Reading

Associated Clinical Trials

References

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Citations

Jul 14, 2020·Neurourology and Urodynamics·Liao PengDe-Yi Luo
Nov 30, 2019·International Urogynecology Journal·Austin M HillRachel N Pauls
Oct 16, 2019·Current Urology Reports·Ricardo Palmerola, Nirit Rosenblum
Aug 28, 2019·Neurourology and Urodynamics·Paulina SzymczakDariusz Grzegorz Wydra
Feb 7, 2021·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Roxana Geoffrion, Maryse Larouche
Oct 23, 2020·International Urogynecology Journal·Abigail Shatkin-MargolisRachel N Pauls
Feb 7, 2021·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Roxana Geoffrion, Maryse Larouche
May 7, 2021·Obstetrics and Gynecology·Maryse LaroucheRoxana Geoffrion

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