The effect of tension-free vaginal tape placement on distal anterior vaginal wall support at the time of laparoscopic sacral colpoperineopexy.
OBJECTIVE
The occurrence of stress urinary incontinence and pelvic organ prolapse can often coexist resulting in the need for concomitant surgical procedures to treat both conditions. The purpose of this study was to determine if tension-free vaginal tape (TVT) at the time of laparoscopic sacral colpoperineopexy (LSCP) had an effect on distal anterior vaginal wall support.


METHODS
This was a retrospective cohort study of patients that had LSCP between January 2005 and December 2007 (n = 121). These patients were divided according to those with (n = 63) and without TVT (n = 58) at the time of LSCP. Pre- and postoperative information was compared between groups using Student's t tests, ANCOVA, and Fisher's exact tests (P ≤ 0.05).


RESULTS
Preoperatively, there were no significant differences between groups for all demographic and anatomic variables (P > 0.05). Patients were followed-up until 12 months after surgery. Patients with and without TVT had similar postoperative anterior vaginal wall measurements (points Aa and Ba) and stage of prolapse (P > 0.05). There were also no differences between groups with regard to recurrent prolapse symptoms or surgical satisfaction (P > 0.05).


CONCLUSIONS
Tension-free vaginal tape at the time of LSCP did not improve postoperative distal anterior vaginal support.
McDermott
Colleen D
CD
Department of Obstetrics and Gynecology, Female Pelvic Medicine and Reconstructive Surgery, Methodist Hospital/Clarian Health Partners, Indiana University School of Medicine, 1633 North Capitol Avenue, Suite #436, Indianapolis, IN 46202, USA. cdmcderm@iupui.edu
Terry
Colin L
CL
Woodman
Patrick J
PJ
Hale
Douglass S
DS
D015331:Cohort Studies; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D010502:Perineum / Q000601:surgery; D012189:Retrospective Studies; D012447:Sacrum / Q000601:surgery; D053825:Suburethral Slings; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014596:Uterine Prolapse / Q000601:surgery*