title: Short-term results and long-term patients' appraisal of abdominal colposacropexy for treatment of genital and vaginal vault prolapse.
abstract: OBJECTIVE
  To evaluate short-term results and long-term patients' satisfaction of abdominal colposacropexy performed for massive genital prolapse in our institute during a 14-year period.
  
  
  METHODS
  A retrospective analysis was performed of 101 consecutive women who underwent abdominal colposacropexy. The procedure consisted of retroperitoneal interposition of a Mersilene mesh between a prolapsed vaginal vault or uterus and the anterior surface of the sacrum. A questionnaire was used to evaluate patients' satisfaction after surgery.
  
  
  RESULTS
  In the short-term there was an acceptable rate of complications of surgery, comparable with that reported in the literature. Prolapse-related complaints evaluated by questionnaire were markedly diminished after surgery. Pain and functional complaints were only partly improved in a subgroup of patients. Only 32% of the patients responded that they were fully cured after operation.
  
  
  CONCLUSIONS
  Abdominal colposacropexy shows a particularly favorable result on prolapse-related complaints. Functional complaints and pain are not substantially relieved by this procedure. The complication rate of surgery is acceptable.
authors.affiliation: Department of Obstetrics and Gynecology, Dijkzigt University Hospital, Rotterdam, The Netherlands.
authors.forename: M J
authors.initials: MJ
authors.lastname: de Vries
authors.forename: T H
authors.initials: TH
authors.lastname: van Dessel
authors.forename: A C
authors.initials: AC
authors.lastname: Drogendijk
authors.forename: I
authors.initials: I
authors.lastname: de Haas
authors.forename: F J
authors.initials: FJ
authors.lastname: Huikeshoven
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002584:Cervix Uteri / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D010146:Pain; D017060:Patient Satisfaction; D012189:Retrospective Studies; D012447:Sacrum; D013526:Surgical Mesh; D013514:Surgical Procedures, Operative / Q000379:methods*; D011795:Surveys and Questionnaires; D014596:Uterine Prolapse / Q000503:physiopathology / Q000601:surgery*; D014621:Vagina / Q000601:surgery*