title: Anatomic outcomes of abdominal sacrocolpopexy  with or without paravaginal repair.
abstract: OBJECTIVE
  We sought to compare rates of recurrent cystocele following sacrocolpopexy with and without paravaginal repair (PVR).
  
  
  METHODS
  This retrospective cohort study compared outcomes for patients undergoing sacrocolpopexy with (group A) and without (group B) concomitant PVR. Defining anterior failure as point Ba > or = -1 cm, we compared anatomic outcomes and reoperation rates for recurrence of cystocele.
  
  
  RESULTS
  One hundred seventy patients undergoing sacrocolpopexy had anterior wall prolapse at or beyond the hymen before surgery (62 in group A and 108 in group B). Ten (16.1%) patients in group A and 29 (26.9%) in group B experienced anterior wall prolapse to or beyond -1 cm (p = 0.13, power 0.38). Among these groups, one (1.6%) and five (4.6%) underwent reoperation for cystocele recurrence (p=0.42, power <0.3).
  
  
  CONCLUSIONS
  Despite the trend toward improved clinical outcomes, we were unable to detect a statistically significant difference with inclusion of PVR with sacrocolpopexy.
authors.affiliation: Department of Gynecology and Obstetrics, Johns Hopkins Bayview Medical Center, 4940 Eastern Avenue, Rm A-121, Baltimore, MD 21224-2780, USA. shshippey@yahoo.com
authors.forename: Stuart H
authors.initials: SH
authors.lastname: Shippey
authors.forename: Lieschen H
authors.initials: LH
authors.lastname: Quiroz
authors.forename: Tatiana V D
authors.initials: TV
authors.lastname: Sanses
authors.forename: Leise R
authors.initials: LR
authors.lastname: Knoepp
authors.forename: Geoffrey W
authors.initials: GW
authors.lastname: Cundiff
authors.forename: Victoria L
authors.initials: VL
authors.lastname: Handa
mesh_terms: D000368:Aged; D015331:Cohort Studies; D052858:Cystocele / Q000601:surgery*; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D008875:Middle Aged; D012008:Recurrence; D012086:Reoperation; D012189:Retrospective Studies