title: Effect of reproductive characteristics, body mass index, and anterior/posterior vaginal compartment defects on the short-term success of abdominal sacrocolpopexy.
abstract: OBJECTIVE
  Vaginal vault prolapse is caused by the loss of apical support in the cardinal-uterosacral ligament complex. Abdominal sacrocolpopexy (ASCP) is one means of repairing vaginal vault prolapse. In the present study, we investigated the effects of reproductive factors, body mass index (BMI), and anterior or posterior vaginal compartment defects on short-term outcomes of ASCP.
  
  
  METHODS
  We retrospectively studied 70 women who had undergone ASCP between February 2012 and November 2012 in our clinic.
  
  
  RESULTS
  There were no significant differences in the complication rate among menopausal, nonmenopausal women, and grand multiparous patients. Operational success was not significantly affected by menopausal status. The long-term rate of grade ≥ 2 prolapse in the apical, anterior, or posterior vaginal wall after ASCP did not differ significantly by menopausal status. Correlation analysis showed that BMI was not associated with operational success in the early postoperative period in patients with vaginal prolapse and was not associated with the detection of grade ≥ 2 prolapse in apical, anterior, and posterior compartments after 1 year.
  
  
  CONCLUSIONS
  ASCP should be the first-line treatment for obese/overweight, menopausal, or grand multiparous patients with additional anterior or posterior vaginal vault prolapse.
authors.affiliation: a Department of Obstetrics and Gynecology , Düzce University School of Medicine , Düzce , Turkey.
authors.forename: Mete
authors.initials: M
authors.lastname: Çağlar
authors.affiliation: b Department of Obstetrics and Gynecology , Antalya Education and Research Hospital , Antalya , Turkey.
authors.forename: Neslihan Boz
authors.initials: NB
authors.lastname: Erkal
authors.affiliation: b Department of Obstetrics and Gynecology , Antalya Education and Research Hospital , Antalya , Turkey.
authors.forename: Bekir Sıtkı
authors.initials: BS
authors.lastname: Isenlik
authors.affiliation: b Department of Obstetrics and Gynecology , Antalya Education and Research Hospital , Antalya , Turkey.
authors.forename: Özgür
authors.initials: Ö
authors.lastname: Özdemir
authors.affiliation: a Department of Obstetrics and Gynecology , Düzce University School of Medicine , Düzce , Turkey.
authors.forename: Ali
authors.initials: A
authors.lastname: Yavuzcan
authors.affiliation: a Department of Obstetrics and Gynecology , Düzce University School of Medicine , Düzce , Turkey.
authors.forename: Yusuf
authors.initials: Y
authors.lastname: Üstün
authors.affiliation: a Department of Obstetrics and Gynecology , Düzce University School of Medicine , Düzce , Turkey.
authors.forename: Selahattin
authors.initials: S
authors.lastname: Kumru
mesh_terms: D015992:Body Mass Index; D005260:Female; D006801:Humans; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D017584:Reproductive History; D012189:Retrospective Studies
keywords: abdominal; body mass index; outcomes; reproductive characteristics; sacrocolpopexy