E-Posters-10057

10057_Park

Pdf Summary

This study aimed to compare the success and complication rates of prolapse repair surgery in women with symptomatic vaginal vault prolapse (VVP) versus uterovaginal prolapse (UtVP) undergoing apical suspension. The study included 326 participants with uterine prolapse of stage 3-4, who underwent apical repair. The surgical repair success rate and complication rate were not significantly different between the VVP and UtVP groups. Both groups achieved a significant and comparable correction of prolapse according to the POP-Q score. The postoperative point C measurements did not vary between groups. The median operation time was longer in the UtVP group, but estimated blood loss was not significantly different between the groups. The rates of postoperative complications were similar, and overall success was also similar between the groups. The primary outcome of treatment success at 12 months, according to both objective and subjective criteria, was not significantly different between the VVP and UtVP groups. Basal characteristics showed that participants undergoing VVP repair were older and more likely to have undergone previous prolapse repair. There was no significant difference in other characteristics between the groups. Overall, this study found that posthysterectomy patients are as likely as patients with uterovaginal prolapse to have successful prolapse surgery, with comparable outcomes in terms of anatomical correction and complication rates.

Keywords

prolapse repair surgery

symptomatic vaginal vault prolapse

uterovaginal prolapse

apical suspension

surgical repair success rate

complication rate

POP-Q score

postoperative point C measurements

operation time

estimated blood loss