title: Modified McCall culdoplasty versus Shull suspension in pelvic prolapse primary repair: a retrospective study.
abstract: OBJECTIVE
  Uterosacral ligament suspension at the time of primary prolapse repair represents a well-established surgical option. Our aim was to compare the effectiveness, complications rate, and functional results of modified McCall culdoplasty and Shull suspension.
  
  
  METHODS
  Patients who underwent vaginal hysterectomy and cuff suspension for pelvic organ prolapse were retrospectively analyzed. McCall culdoplasty (group A) or Shull suspension (group B) were performed according to surgeon choice based on age and sexual activity. Perioperative data, objective, and subjective cure rate were noted.
  
  
  RESULTS
  A total of 339 patients (215 in group A and 124 in group B) completed follow-up. Operating time and blood loss were slightly higher in group B. The complications rate was similar in the two groups. Anatomical outcomes in terms of recurrence and reoperation rate did not show any statistically significant differences. POP-Q items analysis revealed only a different total vaginal length between groups (8 mm longer in group B). Functional outcomes were similar in the two groups as was patient satisfaction.
  
  
  CONCLUSIONS
  Both uterosacral ligament suspension procedures were shown to be safe and effective. There were no clinically significant differences with regard to surgical data, complications, anatomical, functional, and subjective outcomes between modified McCall culdoplasty and Shull suspension.
authors.affiliation: Obstetrics and Gynecology Department, Hospital of Sondrio, University of Milano Bicocca, Sondrio, Italy.
authors.forename: Federico
authors.initials: F
authors.lastname: Spelzini
authors.affiliation: Obstetrics and Gynecology Department, San Gerardo Hospital, University of Milano Bicocca, Monza, Italy.
authors.forename: Matteo
authors.initials: M
authors.lastname: Frigerio
authors.affiliation: Obstetrics and Gynecology Department, San Gerardo Hospital, University of Milano Bicocca, Monza, Italy. stefano.manodoro@gmail.com.
authors.forename: Stefano
authors.initials: S
authors.lastname: Manodoro
authors.affiliation: Obstetrics and Gynecology Department, San Gerardo Hospital, University of Milano Bicocca, Monza, Italy.
authors.forename: Maria Lieta
authors.initials: ML
authors.lastname: Interdonato
authors.affiliation: Obstetrics and Gynecology Department, San Gerardo Hospital, University of Milano Bicocca, Monza, Italy.
authors.forename: Maria Cristina
authors.initials: MC
authors.lastname: Cesana
authors.affiliation: Obstetrics and Gynecology Department, San Gerardo Hospital, University of Milano Bicocca, Monza, Italy.
authors.forename: Debora
authors.initials: D
authors.lastname: Verri
authors.affiliation: Obstetrics and Gynecology Department, San Gerardo Hospital, University of Milano Bicocca, Monza, Italy.
authors.forename: Caterina
authors.initials: C
authors.lastname: Fumagalli
authors.affiliation: Obstetrics and Gynecology Department, San Gerardo Hospital, University of Milano Bicocca, Monza, Italy.
authors.forename: Martina
authors.initials: M
authors.lastname: Sicuri
authors.affiliation: Obstetrics and Gynecology Department, San Gerardo Hospital, University of Milano Bicocca, Monza, Italy.
authors.forename: Elena
authors.initials: E
authors.lastname: Nicoli
authors.affiliation: Obstetrics and Gynecology Department, San Gerardo Hospital, University of Milano Bicocca, Monza, Italy.
authors.forename: Serena
authors.initials: S
authors.lastname: Polizzi
authors.affiliation: Obstetrics and Gynecology Department, San Gerardo Hospital, University of Milano Bicocca, Monza, Italy.
authors.forename: Rodolfo
authors.initials: R
authors.lastname: Milani
mesh_terms: D000368:Aged; D016063:Blood Loss, Surgical / Q000706:statistics & numerical data; D003464:Culdoscopy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000379:methods*; D008875:Middle Aged; D061646:Operative Time; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D016896:Treatment Outcome; D014621:Vagina / Q000601:surgery*
keywords: McCall culdoplasty; Pelvic organ prolapse; Quality of life; Shull suspension; Uterosacral ligament suspension