title: Surgical outcomes following total Prolift: colpopexy versus hysteropexy.
abstract: BACKGROUND
  Total Prolift(®) is a pelvic floor repair system that is performed transvaginally and can be carried out with or without the uterus in situ.
  
  
  OBJECTIVE
  To compare surgical outcomes following total Prolift colpopexy (TPC) and total Prolift hysteropexy (TPH).
  
  
  METHODS
  This was a retrospective cohort study of women that underwent TPC (n = 65) or TPH (n = 24). Outcomes were compared between groups using Student's t-test, ANCOVA and Fisher's exact tests (P ≤ 0.05).
  
  
  RESULTS
  There were no significant differences between TPC and TPH for all peri-operative variables. Patients were followed 6-12 months after surgery. Post-operatively, TPC patients had significantly higher pelvic organ prolapse-quantification (POP-Q) point C measurements (P = 0.05); however, all other POP-Q measurements were similar, including POP-Q apical stage of prolapse, with 99% in the TPC group and 92% in the TPH group at stage I or less. Post-operative mesh erosion, prolapse symptoms, surgical satisfaction, sexual activity and dyspareunia rates did not significantly differ between groups.
  
  
  CONCLUSIONS
  This study showed that TPC and TPH have similar surgical outcomes, except for vaginal vault measurements reflected by POP-Q point C.
authors.affiliation: Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics & Gynecology, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada. colleen.mcdermott@utoronto.ca
authors.forename: Colleen D
authors.initials: CD
authors.lastname: McDermott
authors.forename: Colin L
authors.initials: CL
authors.lastname: Terry
authors.forename: Patrick J
authors.initials: PJ
authors.lastname: Woodman
authors.forename: Douglass S
authors.initials: DS
authors.lastname: Hale
mesh_terms: D000368:Aged; D015992:Body Mass Index; D015331:Cohort Studies; D004414:Dyspareunia / Q000453:epidemiology; D005260:Female; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D017773:Pelvic Floor / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D019736:Prostheses and Implants; D012189:Retrospective Studies; D012725:Sexual Behavior / Q000706:statistics & numerical data; D013526:Surgical Mesh; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000601:surgery*; D014621:Vagina / Q000601:surgery*