Ten years’ follow-up after iliococcygeus fixation for the treatment of apical vaginal prolapse
| Autor: | Stavros Athanasiou, Maurizio Serati, Stefano Salvatore, Chiara Scancarello, Fabio Ghezzi, Andrea Braga |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Vaginal vault prolapse Long term follow up Urology medicine.medical_treatment 030232 urology & nephrology Iliococcygeus fixation Long term follow-up 03 medical and health sciences Fixation (surgical) Gynecologic Surgical Procedures 0302 clinical medicine Uterine Prolapse Apical prolapse Native tissue repair Pelvic organ prolapse Humans Medicine Pelvic organ 030219 obstetrics & reproductive medicine Surgical approach Hysterectomy business.industry Obstetrics and Gynecology Surgery Treatment Outcome Iliococcygeus Quality of Life Female business Stage iv Vaginal Vault Prolapse Follow-Up Studies |
| Zdroj: | International Urogynecology Journal. 32:1533-1538 |
| ISSN: | 1433-3023 0937-3462 |
| Popis: | Various surgical techniques have been described for vaginal vault prolapse repair, but the best surgical approach is still to be proven. The aim of this study is to report the long-term objective and subjective outcomes of women who underwent iliococcygeus fixation for the treatment of vaginal vault prolapse with a minimum follow-up of 10 years. Women with symptomatic vaginal vault prolapse (Pelvic Organ Prolapse Quantification [POP-Q] stage ≥ 2) who had previously undergone hysterectomy for any reason were prospectively enrolled and treated with iliococcygeus fixation. Subjective success was defined as Patient Global Impression of Improvement (PGI-I) ≤ 2 and an absence of bulging symptoms. Objective success was defined as stage of prolapse < 2 in all compartments. Overall success rate was defined as women without prolapse symptoms, PGI-I ≤ 2, stage of prolapse < 2, and no need for other surgery. Prolpase Quality of Life (P-QOL) questionnaires were completed at the preoperative visit and at every follow-up visit. Multiple logistic regression was performed to identify factors involved in the risk of recurrent POP. After a median (range) follow-up of 120 (120–132) months, the subjective, objective, and overall cure rates were 82% (32/39), 74.4% (29/39), and 74.4% (29/39), respectively. Only stage IV vault descensus independently predicted POP recurrence after ICG (OR: 7.66 [95% CI: 1.21–9.02]; p |
| Databáze: | OpenAIRE |
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