A long-term treatment outcome of abdominal sacrocolpopexy.
OBJECTIVE
The aim of this study was to evaluate the long-term treatment outcome and major complication rates of abdominal sacrocolpopexy (ASC).


METHODS
This retrospective study included 57 Korean women who underwent ASC with mesh for symptomatic uterine or vault prolapse and attended follow-up visits for at least 5 years. Forty-seven women with urodynamic stress incontinence concomitantly received a modified Burch colposuspension. The long-term anatomical and functional outcomes and complication rates were assessed.


RESULTS
The median follow-up was 66 months (range 60-108). Overall anatomical success rates (no recurrence of any prolapse >or= stage II according to the pelvic organ prolapse-quantification system) were 86.0%. Urinary urgency and voiding dysfunction were significantly improved after surgery, however, recurrent stress urinary incontinence developed in 44.7% (21/47) of cases and half of them developed within 1-3 months post-op. Bowel function (constipation and fecal incontinence) and sexual function (sexual activity and dyspareunia) did not significantly change after surgery. Major complication requiring reoperation or intensive care developed in 12 (21.0%) cases.


CONCLUSIONS
ASC provides durable pelvic support, however, it may be ineffective for alleviating pelvic floor dysfunction except for urinary urgency and voiding dysfunction, and it contains major complication risk that cannot be overlooked.
Jeon
Myung Jae
MJ
Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea.
Moon
Yeo Jung
YJ
Jung
Hyun Joo
HJ
Lim
Kyung Jin
KJ
Yang
Hyo In
HI
Kim
Sei Kwang
SK
Bai
Sang Wook
SW
D000368:Aged; D044466:Asian People; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery; D011183:Postoperative Complications; D013526:Surgical Mesh; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress; D014596:Uterine Prolapse / Q000601:surgery