Short-term results and long-term patients' appraisal of abdominal colposacropexy for treatment of genital and vaginal vault prolapse.
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.
de Vries
M J
MJ
Department of Obstetrics and Gynecology, Dijkzigt University Hospital, Rotterdam, The Netherlands.
van Dessel
T H
TH
Drogendijk
A C
AC
de Haas
I
I
Huikeshoven
F J
FJ
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*