E-Posters-10260

10260_Bastawros

Pdf Summary

This study compared the one-year outcomes of prolapse surgery using delayed absorbable suture for vaginal uterosacral ligament suspension (USLS) vs sacral colpopexy (SCP). The objective was to evaluate the anatomic success rates and postoperative quality of life (QoL) measures. The study included a retrospective cohort of 62 women who underwent USLS or SCP with concomitant hysterectomy between January 2011 to December 2015. Delayed absorbable suture was utilized in both procedures, with USLS using Polydioxanone (PDS) and SCP using barbed suture in three columns for vaginal mesh attachment. The outcomes at one year were assessed for the anterior wall, vaginal apex, and mesh or suture exposure. QoL measures were also evaluated using the PFDI-20, PISQ-12, and PFIQ-SF7 questionnaires. <br /><br />The key findings showed that the anatomic success rates for the anterior wall were better for SCP when using delayed absorbable suture. Both groups had a greater than 96% apical success rate, and there were no incidences of mesh or suture exposure at one year. Additionally, the QoL outcomes measured by the PFIQ-SF7 questionnaire were better for the SCP group. <br /><br />In summary, this study found that the use of delayed absorbable suture in prolapse surgery resulted in successful outcomes for both USLS and SCP procedures. However, SCP demonstrated better anatomic success rates for the anterior wall and improved QoL outcomes compared to USLS. These findings suggest that SCP with delayed absorbable suture may be a preferable option for prolapse repair in certain patients.

Keywords

prolapse surgery

delayed absorbable suture

vaginal uterosacral ligament suspension

sacral colpopexy

anatomic success rates

postoperative quality of life

retrospective cohort

Polydioxanone

barbed suture

prolapse repair