E-Posters-10027

10027_Ackenbom

Pdf Summary

This study aimed to determine the factors that lead to the concomitant performance of anterior and/or posterior repair during uterosacral ligament suspension (USLS) and identify preoperative predictive factors to help surgeons determine if these repairs will be needed. The study included 191 women who underwent USLS, performed by 7 different surgeons. The mean age of the patients was 61.2 years with a mean BMI of 28.3 kg/m2. The majority of patients were Caucasian and had stage III prolapse. The study found that anterior repair was performed in 27.2% of cases, posterior repair in 58.6% of cases, and both repairs in 68.6% of cases. The study identified several predictors for the need for additional procedures during USLS, including older age, higher preoperative POP-Q point Aa, obesity, and vaginal approach. The study also found that preoperative POP-Q values could predict where additional procedures were likely to be performed. However, the addition of anterior and/or posterior repair did not significantly impact the operative time for USLS. The study concludes that preoperative factors can help predict the likelihood of additional repairs being performed during USLS and that POP-Q cut-points could aid in preoperative counseling for patients.

Keywords

uterosacral ligament suspension

anterior repair

posterior repair

preoperative predictive factors

surgeons

prolapse

additional procedures

POP-Q

obesity

vaginal approach