E-Posters-10133_Sappenfield

10133_Sappenfield

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A study comparing the success rates of two minimally invasive abdominal approaches to treating pelvic organ prolapse (POP) found that the sacrocolpopexy (SCP) procedure had a greater success rate compared to the uterosacral ligament suspension (USLS) procedure. The study included women who underwent either procedure between January 2010 and December 2012. The success rates were determined by a composite score at two years. The composite score for USLS was inferior to SCP, with a 0.08 odds ratio (95% confidence interval 0.01-0.67, p-value 0.020). <br /><br />The study also analyzed various variables including age, BMI, smoking history, previous POP surgery, urinary leakage, defecatory dysfunction, and concomitant surgery. It was found that concomitant surgery and concomitant hysterectomy were significantly higher in the USLS group compared to the SCP group.<br /><br />In terms of subjective and objective symptoms, the USLS group had higher rates of bulge symptoms and bulge past the hymen compared to the SCP group. Measurements of points Ba, Bp, and C also showed significant differences between the two groups, with the USLS group having lower values. The USLS group also had a lower composite score and higher rates of retreatment for POP compared to the SCP group.<br /><br />Overall, the study concluded that the SCP procedure demonstrated a higher success rate compared to the USLS procedure for treating pelvic organ prolapse.

Keywords

study

success rates

minimally invasive

abdominal approaches

pelvic organ prolapse

sacrocolpopexy

uterosacral ligament suspension

composite score

concomitant surgery

subjective symptoms