ResearchGynecologyIncidence of adverse events after uterosacral colpopexy for uterovaginal and posthysterectomy vault prolapse
Section snippets
Materials and Methods
This was a retrospective chart review of all women who underwent uterosacral colpopexy with or without hysterectomy for POP from January 2006 through December 2011 at a single tertiary care referral center. Institutional review board approval for the study was obtained. Subjects were identified by their Current Procedural Terminology code for intraperitoneal colpopexy (57283). All subjects underwent transvaginal uterosacral colpopexy for either uterovaginal prolapse or posthysterectomy vaginal
Results
In all, 1038 subjects were identified and 983 met study inclusion criteria. Concomitant procedures included the following: vaginal hysterectomy (88%), unilateral salpingo-oophorectomy (5.2%), bilateral salpingo-oophorectomy (9.8%), cystocele repair (80%), rectocele repair (58.1%), anal sphincter repair (1.1%), and midurethral sling placement (58.8%). Of subjects, 46.2% (454/983) underwent uterosacral ligament suspension with 2 sutures on each side (1 permanent and 1 delayed-absorbable), 36.7%
Comment
The objective of this study was to report on the rates of adverse events after uterosacral colpopexy and to determine the recurrent POP rate in a large cohort of women undergoing this procedure. We found that in subjects undergoing uterosacral colpopexy for uterovaginal and posthysterectomy vaginal vault prolapse from 2006 through 2011, the overall rates of perioperative and postoperative adverse events were low. We also found that our composite recurrent POP rate was similar to the rates
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M.D.W. is a consultant for Ethicon Inc. M.F.R.P. is a consultant for Boston Scientific Inc. The authors report no conflict of interest.
Cite this article as: Unger CA, Walters MD, Ridgeway B, et al. Incidence of adverse events after uterosacral colpopexy for uterovaginal and posthysterectomy vault prolapse. Am J Obstet Gynecol 2015;212:603.e1-7.