Table 3.
Incidence of Anatomical Failure (Recurrence and Persistence) of Sacrocolpopexy According to Patient, Prolapse, and Surgery Characteristics
| Anatomical Failure n (%) | χ2 | OR (95% CI) | P–value | |
|---|---|---|---|---|
| Patient’s characteristics | ||||
| (A) Age (At time of surgery) | 4.5 | 0.04@ | ||
| ● <45 years (n=45) | 4 (8.9) | 1 | ||
| ● 45–55 years (n=76) | 11 (14.5) | 1.7 (0.5‒5.8) | ||
| ● 56–80 years (n=49) | 12 (24.5) | 1.2 (1.0‒1.5) * | ||
| (B) Obesity | 0.6 | 0.4 | ||
| ● Obese BMI ≥ 29.9 (n=90) | 16 (17.8) | 0.7 (0.3‒1.7) | ||
| ● Non-Obese BMI <29.9 (n=75) | 10 (13.3) | 1 | ||
| (C) Parity | 1.4 | 0.32@ | ||
| ● 1–4 (n= 40) | 5 (12.5) | 1 | ||
| ● 5–8 (n=78) | 10 (12.8) | 1.0 (0.3‒3.3) | ||
| ● 9–15 (n=39) | 8 (20.5) | 1.8(0.5‒6.1) | ||
| (D) Diabetes | 13.5 | <0.001 | ||
| ● Yes (n= 17) | 8 (47.1) | 6.2 (2.1 ‒18.0) | ||
| ● No (n= 151) | 19 (12.6) | 1 | ||
| (E) Br. Asthma | 0.5 | 0.82 | ||
| ● Yes (n=21) | 3 (14.3) | 1.2 (0.3‒4.3) | ||
| ● No | 24 (16.2) | 1 | ||
| (F) Previous Pelvic surgeries | 0.1 | 0.77 | ||
| ● Yes (n=28) | 4 (14.3) | 1.2 (0.4‒3.8) | ||
| ● No (n=139) | 23 (16.5) | 1 | ||
| (G) Previous C. sections | 0.0 | 0.96 | ||
| ● Yes (n=6) | 1 (16.7) | 0.9 (0.1‒8.4) | ||
| ● No (n=164) | 26 (15.9) | 1 | ||
| POP Characteristics | ||||
| (A) Severity of prolapse | 0.003 | 0.96 | ||
| ● Severe (POP grade ≥3) (n=157) | 25 (15.9) | 1.04 (0.2–5.0) | ||
| ● Others (grade <3) (n=13) | 2 (15.4) | 1 | ||
| (B) Constipation | 0.2 | 0.64 | ||
| ● Yes (n=69) | 10 (14.5) | 1.2 (0.5‒2.9) | ||
| ● No (n= 99) | 17 (17.2) | 1 | ||
| Surgery Characteristics | ||||
| (A) Mode of surgery | 0.003 | 0.99 | ||
| ● Laparotomy (n=6) | 1 (16.7) | 1.05 (0.2–6.5) | ||
| ● Laparoscopy/ Robotic (n=164) | 26 (15.9) | 1 | ||
| (B) Type of mesh | 3.2 | 0.07 | ||
| ● Double (n=25) | 7 (28.0) | 0.4 (0.2‒1.1) | ||
| ● Anterior (n=145) | 20 (13.8) | 1 | ||
| (C) Uterine status | ||||
| ● Sacrocolpopexy (n=124) | 23 (18.5) | 2.44 | 2.39 (0.8–7.3) | 0.12 |
| ● Sacrohysteropexy (n=46) | 4 (8.7) | |||
| (D) Concomitant posterior repair | 7.7 | <0.006 | ||
| ● Yes (n=117) | 12 (10.3) | 0.31(0.13–0.73) | ||
| ● No (n=52) | 14 (26.9) | 1 | ||
| (E) Concomitant TVTO | 0.3 | 0.59 | ||
| ● Yes (n=58) | 8 (13.8) | 1.28 (0.52‒3.12) | ||
| ● No (n=112) | 19 (17.0) | 1 |
Notes: *Reference category. @Chi square test for linear trend. Figures are shown for only available data.
Abbreviation: TVTO, Transvaginal Tension Free Vaginal Tape-Obturator.