Outcomes of vaginal vault prolapse repair with a high uterosacral suspension procedure utilizing bilateral single sutures.
The aim of this study was to describe an approach for performing a high uterosacral vaginal vault suspension and to report anatomical and subjective results. Anatomic measures and validated symptom-specific questionnaires were performed pre- and postoperatively. Patient satisfaction was also ascertained. Thirty-five women, who underwent a two-suture high uterosacral suspension, participated. Mean follow-up interval was 23.1+/-10.1 months. Postoperative point C was -7.8+/-1.60 (median, -8.0, range, -4.0 to -10.0), and the mean preoperative to postoperative change in point C was 5.9+/-5.56 cm (median 4.75, range -3.0 to 20.0, p-value<0.0001). Patient satisfaction was high with 88.9% indicating that they would have the surgery again. There were no ureteral injuries or kinks noted on intraoperative cystoscopy. No patient required reoperation for recurrent prolapse or urinary incontinence. Overall, the two-suture high uterosacral vaginal vault suspension is an acceptable technique for repairing apical prolapse.
Wheeler
Thomas L
TL
Department of Obstetrics and Gynecology, Division of Women's Pelvic Medicine and Reconstructive Surgery, University of Alabama at Birmingham, Birmingham, AL 35249-7333, USA. tlwheeler@uabmc.edu
Gerten
Kimberly A
KA
Richter
Holly E
HE
Duke
Angela G
AG
Varner
R Edward
RE
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008022:Ligaments / Q000601:surgery; D008875:Middle Aged; D011795:Surveys and Questionnaires; D013536:Suture Techniques; D016896:Treatment Outcome; D013520:Urologic Surgical Procedures / Q000379:methods*; D014596:Uterine Prolapse / Q000601:surgery*