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International Urogynecology Journal
Published in: International Urogynecology Journal 6/2018

01-06-2018 | Original Article

Vaginal cystocele repair and hysteropexy in women with anterior and central compartment prolapse: efficacy and safety after 30 months of follow-up

Authors: Maurizio Serati, Andrea Braga, Simona Cantaluppi, Giorgio Caccia, Fabio Ghezzi, Paola Sorice

Published in: International Urogynecology Journal | Issue 6/2018

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Abstract

Introduction and hypothesis

The aim of this study was to assess the safety and efficacy of vaginal native tissue repair and uterine suspension after a follow-up of at least 1 year.

Methods

We included all consecutive women with an anterior vaginal prolapse of stage II or higher and a concomitant uterine prolapse of stage II who underwent this surgical procedure. We considered women with a descensus with maximum point of less than −1 in any compartment as objectively cured. Overall success was defined as no prolapse symptoms, together with a Patient Global Impression of Improvement (PGI-I) score of 2 or less, prolapse of stage lower than II, and no need for other surgery.

Results

A total of 102 patients underwent this surgical procedure during the study period and met all the inclusion criteria for statistical analysis. The mean follow-up was 31 ± 8.2 months; no patient was lost to follow-up. Five patients (4.9%) showed postoperative complications. In terms of subjective outcomes, at the last available follow-up, failure of this surgical procedure was seen in 2% of patients. The objective cure rate and the overall cure rate were the 95.1%. No significant deterioration in objective cure rates was observed over time (p = 0.6).

Conclusions

Vaginal repair and hysteropexy appear to be an effective and safe option for women with advanced uterovaginal prolapse.
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Metadata
Title
Vaginal cystocele repair and hysteropexy in women with anterior and central compartment prolapse: efficacy and safety after 30 months of follow-up
Authors
Maurizio Serati
Andrea Braga
Simona Cantaluppi
Giorgio Caccia
Fabio Ghezzi
Paola Sorice
Publication date
01-06-2018
Publisher
Springer London
Published in
International Urogynecology Journal / Issue 6/2018
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-017-3498-x

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