E-Posters-10264

10264_Ford

Pdf Summary

This study aimed to investigate the relationship between the stage of pelvic organ prolapse (POP) and perioperative complications in vaginal reconstructive surgery. The retrospective cohort included 369 patients who underwent surgery for POP between 2006 and 2011. The primary outcome was the presence of a perioperative complication, and multivariate logistic regression models were used to control for confounding variables.<br /><br />The results showed that women who underwent a hysterectomy or had a higher stage (>3) of anterior compartment POP were more likely to have a perioperative complication. There were no differences in POP-Q stage for other compartments (apex or posterior) or in the type of reconstructive surgery performed for each compartment between those with and without complications. After controlling for confounding factors, anterior compartment POP stage >3 remained significantly associated with perioperative complications.<br /><br />The study concluded that advanced anterior compartment POP is likely a risk factor for perioperative complications in patients undergoing vaginal reconstructive surgery for POP. However, further prospective studies with a larger sample size are needed to determine the true risk of complications with advanced anterior prolapse stage.<br /><br />Overall, this study provides insights into the relationship between the stage of POP and perioperative complications in vaginal reconstructive surgery. It highlights the importance of considering the stage of POP when evaluating the risk of complications and suggests that advanced anterior compartment POP may increase the risk of perioperative complications.

Keywords

pelvic organ prolapse

vaginal reconstructive surgery

perioperative complications

retrospective cohort

hysterectomy

anterior compartment POP

POP-Q stage

reconstructive surgery

confounding variables

prospective studies