E-Posters-10121

10121_Devakumar

Pdf Summary

A study was conducted to compare the outcomes of women with greater degree exteriorized pelvic organ prolapse (POP) who underwent reconstructive surgery to women with less severe POP. The study analyzed data from a retrospective review of a Urogynecology database at a single institution between 2005 and 2015. Greater degree of prolapse was defined as exteriorized prolapse with Pelvic Organ Prolapse Quantification system (POPQ) points Ba, C, or Bp ≥ 3 cm.<br /><br />The primary outcomes measured were a combined composite of success (defined as POP Q < stage 2) and patient satisfaction. The study found that there were no significant differences in patient satisfaction and success rates between women with exteriorized prolapse and those with less severe prolapse. However, objective failure was dependent on higher preoperative POPQ points Aa, gh, and a history of prior hysterectomy.<br /><br />The study included a total of 521 subjects, with 378 in the less severe prolapse group and 143 in the greater degree prolapse group. The median follow-up period was 124 weeks for the less severe group and 111 weeks for the greater degree group. The majority of both groups underwent vaginal repairs.<br /><br />In terms of results, the study found that the primary outcome of success was comparable in both groups, with a slightly higher success rate in the less severe group. However, the objective success rate (POP Q < stage 2) was lower in the greater degree prolapse group compared to the less severe group. Additionally, the greater degree prolapse group had a higher rate of anterior compartment failures compared to the less severe group.<br /><br />Multivariate regression analysis identified risk factors for failure in the greater degree prolapse group, including higher POPQ points Aa and gh, as well as a prior history of hysterectomy. Complication rates were similar in both groups.<br /><br />In conclusion, the study suggests that correcting greater degrees of prolapse may be associated with higher reoperation rates. However, there were no significant differences in patient satisfaction and overall success rates between women with greater degree prolapse and those with less severe prolapse. The study highlights the importance of considering individual risk factors when planning and performing surgery for pelvic organ prolapse.

Keywords

exteriorized pelvic organ prolapse

reconstructive surgery

less severe POP

retrospective review

patient satisfaction

objective failure

preoperative POPQ points

hysterectomy

multivariate regression analysis

reoperation rates