Anatomic outcomes of abdominal sacrocolpopexy  with or without paravaginal repair.
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.
Shippey
Stuart H
SH
Department of Gynecology and Obstetrics, Johns Hopkins Bayview Medical Center, 4940 Eastern Avenue, Rm A-121, Baltimore, MD 21224-2780, USA. shshippey@yahoo.com
Quiroz
Lieschen H
LH
Sanses
Tatiana V D
TV
Knoepp
Leise R
LR
Cundiff
Geoffrey W
GW
Handa
Victoria L
VL
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