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International Urogynecology Journal

Published in:

01-04-2011 | Original Article

Laparoscopic sacral colpoperineopexy: abdominal versus abdominal–vaginal posterior graft attachment

Authors: Colleen D. McDermott, Jean Park, Colin L. Terry, Patrick J. Woodman, Douglass S. Hale

Published in: International Urogynecology Journal | Issue 4/2011

Abstract

Introduction and hypothesis

Laparoscopic sacral colpoperineopexy (LSCP) involves posterior graft extension to the perineum for improved posterior support. The objective of this study was to determine whether posterior measurements differed between those that had graft extension done abdominally (A-LSCP) or abdomino-vaginally (AV-LSCP).

Methods

This was a retrospective cohort study of patients that underwent A-LSCP (n = 17) and AV-LSCP (n = 51). Pre-, peri-, and postoperative variables were compared using Student’s t, Fisher’s exact, and analysis of covariance tests.

Results

Follow-up was 6 to 12 months. There were no differences between A-LSCP and AV-LSCP for any vaginal measurements or stage of prolapse (P > 0.05). Although not statistically different, A-LSCP patients had lower rates of mesh erosion and dyspareunia (P > 0.05). AV-LSCP patients had fewer prolapse symptoms (P = 0.01), but both groups had similar surgical satisfaction (P = 0.8).

Conclusions

A-LSCP and AV-LSCP had comparable effects on posterior vaginal measurements; however, mesh erosion and subjective outcomes differed between the two approaches.

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Title: Laparoscopic sacral colpoperineopexy: abdominal versus abdominal–vaginal posterior graft attachment
Authors: Colleen D. McDermott
Jean Park
Colin L. Terry
Patrick J. Woodman
Douglass S. Hale
Publication date: 01-04-2011
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 4/2011
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-010-1302-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Laparoscopic sacral colpoperineopexy: abdominal versus abdominal–vaginal posterior graft attachment

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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