Abdominal Sacrocolpopexy versus Vaginal Sacrospinous Ligament Fixation:Clinical Data and Questionnaire-based Patient Assessment

摘要

Purpose: The aim of this study was to carry out a retrospective comparison of abdominal sacrocolpopexy (ASC) and vaginal sacrospinous ligament fixation (VSLF) procedures, comparing periopera-tive and postoperative complications and outcomes, including a prospective follow-up visit and a questionnaire-based assessment of the two methods.Material and Methods: During the study period 21 women underwent ASC and 85 women underwent VSLF for the treatment of pelvic organ prolapse. We performed a retrospective review of the medical charts to assess complications and outcomes. A questionnaire-based follow-up examination was also done. Median follow-up time was 44 months. Results: Operative times were longer for ASC compared to VSLF (114.6 ?.3 minutes vs. 81.9 ? minutes; p< 0.001). There was a lower rate of postoperative cystoceles in the group of women who underwent ASC compared to the women who underwent VSLF (27.3 vs. 70%; p = 0.01). Women who underwent ASC reported fewer pressure symptoms (9.1 vs. 44%; p = 0.04), but more frequent pelvic pain (45.5 vs. 12%; p = 0.02) compared to women from the VSLF group. Perioperative and postoperative morbidity was low in both groups. One patient (0.9%) in the VSLF group required revision surgery due to secondary hemorrhage. 63.7% of patients who underwent ASC and 47% of patients who underwent VSLF showed symptoms of stress incontinence. Moreover, 72.7% of women from the ASC group and 34% from the VSLF group reported urge symptoms.