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Long-term outcomes and predictors of failure after surgery for stage IV apical pelvic organ prolapse
- Source :
- International Urogynecology Journal. 29:803-810
- Publication Year :
- 2017
- Publisher :
- Springer Science and Business Media LLC, 2017.
-
Abstract
- The aim of this study was to compare outcomes after uterosacral ligament suspension (USLS) or sacrocolpopexy for symptomatic stage IV apical pelvic organ prolapse (POP) and evaluate predictors of prolapse recurrence. The medical records of patients managed surgically for stage IV apical POP from January 2002 to June 2012 were reviewed. A follow-up survey was sent to these patients. The primary outcome, prolapse recurrence, was defined as recurrence of prolapse symptoms measured by validated questionnaire or surgical retreatment. Survival time free of prolapse recurrence was estimated using the Kaplan–Meier method, and Cox proportional hazards models evaluated factors for an association with recurrence. Of 2633 women treated for POP, 399 (15.2%) had stage IV apical prolapse and were managed with either USLS (n = 355) or sacrocolpopexy (n = 44). Those managed with USLS were significantly older (p
- Subjects :
- Adult
medicine.medical_specialty
Urology
medicine.medical_treatment
Uterosacral ligament
Kaplan-Meier Estimate
Hysterectomy
Severity of Illness Index
Pelvic Organ Prolapse
Young Adult
03 medical and health sciences
Gynecologic Surgical Procedures
Postoperative Complications
0302 clinical medicine
Interquartile range
Statistical significance
Humans
Medicine
Treatment Failure
030212 general & internal medicine
Proportional Hazards Models
030219 obstetrics & reproductive medicine
business.industry
Proportional hazards model
Medical record
Hazard ratio
Age Factors
Obstetrics and Gynecology
Confidence interval
Surgery
Treatment Outcome
medicine.anatomical_structure
Vagina
Female
business
Subjects
Details
- ISSN :
- 14333023 and 09373462
- Volume :
- 29
- Database :
- OpenAIRE
- Journal :
- International Urogynecology Journal
- Accession number :
- edsair.doi.dedup.....74502ec99cc48e72521cb3def0a78e9e