Vaginal cystocele repair and hysteropexy in women with anterior and central compartment prolapse: efficacy and safety after 30 months of follow-up.

Serati M; Braga A; Cantaluppi S; Caccia G; Ghezzi F; Sorice P

doi:10.1007/s00192-017-3498-x

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Journal article

Vaginal cystocele repair and hysteropexy in women with anterior and central compartment prolapse: efficacy and safety after 30 months of follow-up.

Serati M Department Obstetrics and Gynecology, Urogynecolgy Unit, University of Insubria, Piazza Biroldi 1, 21100, Varese, Italy. mauserati@hotmail.com.
Braga A Department of Obstetrics and Gynecology, EOC - Beata Vergine Hospital, Mendrisio, Switzerland.
Cantaluppi S Department Obstetrics and Gynecology, Urogynecolgy Unit, University of Insubria, Piazza Biroldi 1, 21100, Varese, Italy.
Caccia G Department of Obstetrics and Gynecology, EOC - Beata Vergine Hospital, Mendrisio, Switzerland.
Ghezzi F Department Obstetrics and Gynecology, Urogynecolgy Unit, University of Insubria, Piazza Biroldi 1, 21100, Varese, Italy.
Sorice P Department Obstetrics and Gynecology, Urogynecolgy Unit, University of Insubria, Piazza Biroldi 1, 21100, Varese, Italy.

2017-10-25

Published in:

International urogynecology journal. - 2018

Gynecologic Surgical Procedures

English INTRODUCTION AND HYPOTHESIS
The aim of this study was to assess the safety and efficacy of vaginal native tissue repair and uterine suspension after a follow-up of at least 1 year.

METHODS
We included all consecutive women with an anterior vaginal prolapse of stage II or higher and a concomitant uterine prolapse of stage II who underwent this surgical procedure. We considered women with a descensus with maximum point of less than -1 in any compartment as objectively cured. Overall success was defined as no prolapse symptoms, together with a Patient Global Impression of Improvement (PGI-I) score of 2 or less, prolapse of stage lower than II, and no need for other surgery.

RESULTS
A total of 102 patients underwent this surgical procedure during the study period and met all the inclusion criteria for statistical analysis. The mean follow-up was 31 ± 8.2 months; no patient was lost to follow-up. Five patients (4.9%) showed postoperative complications. In terms of subjective outcomes, at the last available follow-up, failure of this surgical procedure was seen in 2% of patients. The objective cure rate and the overall cure rate were the 95.1%. No significant deterioration in objective cure rates was observed over time (p = 0.6).

CONCLUSIONS
Vaginal repair and hysteropexy appear to be an effective and safe option for women with advanced uterovaginal prolapse.

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