Midline fascial plication under continuous digital transrectal control: which factors determine anatomic outcome?

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Publication year
2010Source
International Urogynecology Journal, 21, 6, (2010), pp. 623-30ISSN
Annotation
01 juni 2010
Publication type
Article / Letter to editor

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Organization
Gynaecology
Journal title
International Urogynecology Journal
Volume
vol. 21
Issue
iss. 6
Page start
p. 623
Page end
p. 30
Subject
NCEBP 12: Human ReproductionAbstract
INTRODUCTION AND HYPOTHESIS: The aim of the study was to report anatomic and functional outcome of midline fascial plication under continuous digital transrectal control and to identify predictors of anatomic failure. METHODS: Prospective observational cohort. Anatomic success defined as POP-Q stage <or= I of the posterior compartment. Validated questionnaires to measure bother and impact on quality of life. Logistic regression to identify risk factors for anatomic failure. RESULTS: Two hundred thirty-three patients with posterior pelvic organ prolapse (POP) stage >or= II underwent midline fascial plication under continuous digital transrectal control. Median follow-up was 14 months (12-35 months), and anatomic success was 80.3% (95% CI 75-86). Independent predictors of failure were posterior compartment POP stage >or= III [OR 8.7 (95% CI 2.7-28.1)] and prior colposuspension [OR 5.6 (95% CI 1.1-27.8)]. Sixty-three percent of patients bothered by obstructed defaecation experienced relief after surgery. CONCLUSIONS: Anatomic and functional outcomes were good. Risk factors for anatomic failure were initial size of posterior POP (stage >or= III) and prior colposuspension.
This item appears in the following Collection(s)
- Academic publications [227881]
- Electronic publications [107344]
- Faculty of Medical Sciences [86219]
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