Anatomic and functional outcomes of sacrocolpopexy with or without posterior colporrhaphy

作者：Kaser Daniel J^*; Kinsler Erron L; Mackenzie Todd A; Hanissian Paul; Strohbehn Kris; Whiteside James L

来源：International Urogynecology Journal and Pelvic Floor Dysfunction, 2012, 23(9): 1215-1220.

DOI：10.1007/s00192-012-1695-1

• Bowel function
• Colporrhaphy
• Pelvic Organ Prolapse Quantification (POP-Q)
• Posterior repair
• Rectocele
• Sacrocolpopexy

The optimal surgery for combined apical and posterior vaginal prolapse is not well defined. Our objective was to examine the anatomic and functional outcomes following sacrocolpopexy (SCP) with or without posterior colporrhaphy (PC).
We retrospectively evaluated 258 women who underwent abdominal (n = 62) or laparoscopic (n = 196) SCP with or without PC. Preoperative anatomic support and standardized bowel symptoms were compared to 6-week and 1-year postoperative values, using Student's t test and Wilcoxon rank sum test, respectively.
Six-week follow-up data were available for 235 of 258 (91.1 %) women, while 125 of 258 (48.4 %) women had 1-year anatomic and functional outcomes recorded. While the SCP + PC group had worse posterior descent and bowel function preoperatively, there were no significant differences in postoperative anatomic support or symptoms. Long-term pelvic floor function was similar, as measured by three validated instruments. Reduction in the proportion of women with splinting was greater in the SCP + PC group.
SCP with or without PC is associated with improved posterior support and decreased obstructive and irritative bowel symptoms at 1 year in women with apical and posterior prolapse.

• 出版日期2012-9