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International Urogynecology Journal
Published in: International Urogynecology Journal 5/2003

01-11-2003 | Original Article

Sacrospinous hysteropexy compared to vaginal hysterectomy as primary surgical treatment for a descensus uteri: effects on urinary symptoms

Authors: H. J. van Brummen, G. van de Pol, C. I. M. Aalders, A. P. M. Heintz, C. H. van der Vaart

Published in: International Urogynecology Journal | Issue 5/2003

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Abstract

One hundred and three women underwent sacrospinous hysteropexy (n=54) or vaginal hysterectomy with a vaginal vault suspension (n=49) for the management of descensus uteri. They were sent a postal questionnaire. Logistic regression analysis was used to obtain crude and adjusted odds ratios. Seventy-four (72%) women responded. The adjusted odds ratios for urge incontinence is 3.4 (1.0–12.3) and for overactive bladder 2.9 (0.5–16.9) greater after vaginal hysterectomy. The women recovered significantly more quickly after sacrospinous hysteropexy. There were no differences in anatomical outcome or recurrence rate. When performed to correct a descensus uteri of grade 2 or more we found that vaginal hysterectomy is associated with a three times higher risk for urge incontinence and overactive bladder symptoms. In addition, the women who underwent sacrospinous hysteropexy also reported a quicker recovery from surgery. Sacrospinous hysteropexy, therefore, appears to be promising for the correction of descensus uteri.
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Metadata
Title
Sacrospinous hysteropexy compared to vaginal hysterectomy as primary surgical treatment for a descensus uteri: effects on urinary symptoms
Authors
H. J. van Brummen
G. van de Pol
C. I. M. Aalders
A. P. M. Heintz
C. H. van der Vaart
Publication date
01-11-2003
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 5/2003
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-003-1084-x

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