E-Posters-Anterior and Posterior Compartment Outcomes After Sacrocolpopexy: Does Surgical Route Matter?

Anterior and Posterior Compartment Outcomes After Sacrocolpopexy: Does Surgical Route Matter? - Edgar L. LeClaire, MD, MS

Back to course

Pdf Summary

This study aimed to examine the relationship between the surgical route of sacrocolpopexy (SCP) and anterior and posterior compartment failure. The researchers conducted a retrospective cohort study of patients who underwent SCP between January 2010 and December 2015. The primary outcomes were anterior and posterior compartment failure, defined as postoperative POP-Q point Aa, Ba, or Ap, Bp ≥ 0, noted more than 90 days postoperatively. The impact of concomitant colporrhaphy on compartment outcomes was also investigated.<br /><br />A total of 214 cases met the inclusion criteria, with laparoscopic SCP (LSCP) accounting for 60% of the cases, robot-assisted SCP (RSCP) for 20%, and abdominal SCP (ASCP) for 20%. There were no differences in demographic variables or prolapse stage noted between the groups. The study found that anterior and posterior failure rates did not differ by the route of SCP. However, posterior failure was associated with concomitant posterior colporrhaphy.<br /><br />Patients who underwent concomitant posterior colporrhaphy had higher preoperative point Bp compared to those who underwent SCP without posterior colporrhaphy. The retreatment approach did not differ across the groups, indicating that the route of SCP did not affect the need for further treatment.<br /><br />In conclusion, this study suggests that the route of SCP does not impact anterior and posterior compartment failure rates. However, concomitant posterior colporrhaphy was associated with posterior compartment failure and higher preoperative point Bp. These findings contribute to the limited literature on three-way comparisons of anatomic outcomes between different SCP routes and provide insights into the effect of surgical route and concomitant colporrhaphy on recurrent cystocele or rectocele after SCP.

Keywords

surgical route

sacrocolpopexy

anterior compartment failure

posterior compartment failure

retrospective cohort study

laparoscopic SCP

robot-assisted SCP

abdominal SCP

concomitant colporrhaphy

preoperative point Bp