Wide genital hiatus is a risk factor for recurrence following anterior vaginal repair.
OBJECTIVE
To determine if a wide genital hiatus is a risk factor for recurrence of anterior vaginal wall prolapse following anterior vaginal repair.


METHODS
A retrospective cohort study was performed on patients who had undergone an anterior vaginal wall repair. Patients were placed into 1 of 2 groups: wide genital hiatus (> or =5 cm) or normal genital hiatus (<5 cm). The wide genital hiatus group (n=35) was compared with the normal genital hiatus group (n=30) for surgical failure.


RESULTS
There were no significant differences between the 2 groups in demographic data, additional operative procedures, or apical suspensions. The rate of postoperative anterior vaginal wall prolapse was greater in patients with a wide genital hiatus compared with those with a normal genital hiatus (34.3% vs 10% respectively; odds ratio 4.7 [95% confidence interval, 1.0-24.1]; P=0.02).


CONCLUSIONS
The rate of recurrent anterior vaginal wall prolapse is higher in patients with a wide genital hiatus.
Medina
Carlos A
CA
Department of Obstetrics and Gynecology, University of Miami, Miller School of Medicine, Miami, FL, USA. cmedina@med.miami.edu
Candiotti
Keith
K
Takacs
Peter
P
D000368:Aged; D015331:Cohort Studies; D005260:Female; D006801:Humans; D008875:Middle Aged; D017773:Pelvic Floor / Q000473:pathology*; D012008:Recurrence; D012189:Retrospective Studies; D012307:Risk Factors; D013536:Suture Techniques; D017211:Treatment Failure; D014596:Uterine Prolapse / Q000209:etiology* / Q000473:pathology / Q000601:surgery*