Short-term outcomes of sacrospinous hysteropexy through an anterior approach
| Autor: | Rahul Dutta, Tyler L. Overholt, Andre Plair, Catherine A. Matthews |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
030219 obstetrics & reproductive medicine Hysterectomy business.industry Proportional hazards model Urology medicine.medical_treatment 030232 urology & nephrology Obstetrics and Gynecology Uterine prolapse Retrospective cohort study medicine.disease Posterior approach Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Hymen Laparotomy Medicine Anterior approach business |
| Zdroj: | International Urogynecology Journal. 32:1555-1563 |
| ISSN: | 1433-3023 0937-3462 |
| Popis: | The posterior approach to sacrospinous hysteropexy has been well studied but little is known about the anterior approach. This study assessed the efficacy and complications of an anterior approach to sacrospinous hysteropexy compared to hysterectomy with apical repair. We hypothesized that anterior sacrospinous hysteropexy has similar efficacy and fewer complications. This retrospective cohort study compared patients who underwent native-tissue anterior sacrospinous hysteropexy (cases) with those who underwent hysterectomy with apical repair (controls). Composite success was defined as (1) leading edge of prolapse not beyond the hymen and apex not descended > 1/3 total vaginal length; (2) no vaginal bulge symptoms; (3) no prolapse retreatment. Descriptive and bivariate statistics were performed as well as a Cox regression analysis for time to failure. Fifty cases and 97 controls were compared. The median follow-up time was 7.6 months. Operative time was shorter in the hysteropexy group (110.7 vs. 155.9 min, p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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