Table 3:
Adjusted Analyses of Composite Surgical Failure and Bothersome Vaginal Bulge Symptoms a
| Model to Predict Composite Surgical Failure a | |||
|---|---|---|---|
| Variable | Mean Log Estimate (Standard Error) b | Adjusted Odds Ratio (95% Confidence Interval) b | p-value b |
| GH group: Improved vs Stably Normal | 0.8 (0.83) | 2.2 (0.4, 11.1) | 0.36 |
| GH group: Persistently Enlarged vs Stably Normal | 1.8 (0.94) | 6.0 (1.0, 37.5) | 0.06 |
| Advanced POP in anterior compartment e: Yes vs No | 1.0 (0.83) | 2.8 (0.6, 14.1) | 0.21 |
| Model to Predict Bothersome Vaginal Bulge Symptoms d | |||
| Variable | Mean Log Estimate (Standard Error) b | Adjusted Odds Ratio (95% Confidence Interval) b | p-value b |
| GH group: Improved vs Stably Normal | 0.6 (1.14) | 1.8 (0.2, 16.6) | 0.61 |
| GH group: Persistently Enlarged vs Stably Normal | 0.9 (1.30) | 2.4 (0.2, 31.0) | 0.50 |
| Advanced POP in anterior compartment c: Yes vs No | 0.8 (1.13) | 2.3 (0.2, 20.9) | 0.47 |
Composite surgical failure is defined as the occurrence of an anatomic failure (i.e. pelvic organ prolapse beyond the hymen c), subjective failure (i.e. bothersome vaginal bulge symptoms d), or retreatment failure (i.e. surgery or pessary retreatment for pelvic organ prolapse)
Mean log estimates, standard errors, adjusted odds ratios, 95% Wald confidence intervals, and p-values were obtained from the adjusted logistic regression model adjusting for categorized change from preoperative genital hiatus (strain) to postoperative 4–6 week genital hiatus (strain) GH groups and advanced prolapse beyond the hymen in the anterior compartment e.
Pelvic organ prolapse (POP) beyond the hymen in any compartment is defined as a prolapse beyond the hymen in any compartment (i.e. POPQ point C, Ba, or Bp > 0).
Bothersome vaginal bulge symptoms is defined as a positive response to any vaginal bulge symptoms (i.e. PFDI-20 item 3) with a degree of bother greater than not at all.
Advanced pelvic organ prolapse (POP) beyond the hymen in the anterior compartment is defined as a prolapse beyond the hymen of greater than 1 cm in the anterior compartment (i.e. POPQ point Ba > 1).