title: Abdominal sacral colpopexy or vaginal sacrospinous colpopexy for vaginal vault prolapse: a prospective randomized study.
abstract: OBJECTIVE
  The purpose of this study was to compare the abdominal sacral colpopexy and vaginal sacrospinous colpopexy in the treatment of vaginal vault prolapse.
  
  
  METHODS
  Ninety-five women with vaginal vault prolapse were allocated randomly to sacral colpopexy (47 women) or sacrospinous colpopexy (48 women). Primary outcome measurements include subjective, objective, and patient-determined success rates. Secondary outcomes include the impact on bowel, bladder, and sexual function, cost, and quality of life.
  
  
  RESULTS
  Two years after the operation (range, 6-60 months), the subjective success rate was 94% in the abdominal and 91% in the vaginal group (P=.19). The objective success rate was 76% in the abdominal group and 69% in the vaginal group (P=.48). The abdominal approach was associated with a longer operating time, a slower return to activities of daily living, and a greater cost than the sacrospinous colpopexy (P<.01). Both surgeries significantly improved the patient's quality of life (P<.05).
  
  
  CONCLUSIONS
  Abdominal sacral colpopexy and vaginal sacrospinous colpopexy are both highly effective in the treatment of vaginal vault prolapse.
authors.affiliation: Urogynaecology Unit, Royal Women's and Mater Hospitals, Brisbane, QLD, Australia. chrismaher@urogynaecology.com.au
authors.forename: Christopher F
authors.initials: CF
authors.lastname: Maher
authors.forename: Aymen M
authors.initials: AM
authors.lastname: Qatawneh
authors.forename: Peter L
authors.initials: PL
authors.lastname: Dwyer
authors.forename: Marcus P
authors.initials: MP
authors.lastname: Carey
authors.forename: Ann
authors.initials: A
authors.lastname: Cornish
authors.forename: Philip J
authors.initials: PJ
authors.lastname: Schluter
mesh_terms: D000005:Abdomen; D000203:Activities of Daily Living; D004414:Dyspareunia / Q000150:complications / Q000209:etiology; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000191:economics / Q000379:methods*; D017048:Health Care Costs; D006801:Humans; D011788:Quality of Life; D012074:Remission Induction; D012445:Sacrococcygeal Region; D012725:Sexual Behavior; D013526:Surgical Mesh; D013536:Suture Techniques; D013997:Time Factors; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000150:complications / Q000601:surgery*; D014621:Vagina