Table 8.
Risk factors for surgical failure and anterior vaginal wall prolapse relapse.
| Univariate Analysis | Multivariate Analysis | |||
|---|---|---|---|---|
| HR | p Value | HR | p Value | |
| Age | 0.9 (0.9–1.0) | 0.34 | ||
| BMI | 1.1 (0.9–1.2) | 0.12 | ||
| Previous vaginal delivery | 0.9 (0.6–1.2) | 0.43 | ||
| Cesarean section | 1.9 (0.4–8.6) | 0.41 | ||
| Instrumental vaginal delivery (forceps) | 0.7 (0.2–2.3) | 0.59 | ||
| Episiotomy | 1.1 (0.5–2.4) | 0.84 | ||
| Smoking habits | 1.2 (0.1–9.10.9) | 0.88 | ||
| Previous hysterectomy | 2.4 (1.1–5.1) | 0.06 | 4.0 (1.3–12.1) | 0.01 |
| Previous POP surgery | 2.1 (0.8–5.4) | 0.10 | ||
| Previous anterior vaginal wall prolapse repair | 1.6 (0.5–4.8) | 0.43 | ||
| Anterior vaginal wall prolapse IV stage | 1.3 (0.3–5.1) | 0.70 | ||
| Central compartment prolapse III stage | 2.3 (0.8–6.4) | 0.12 | ||
| Central compartment prolapse IV stage | 1.1 (0.3–3.7) | 0.85 | ||
| Plastron | 0.2 (0.1–0.6) | 0.001 | 0.2 (0.1–0.9) | 0.04 |
| Isolated SSLF-A | 4.4 (1.7–11.4) | 0.003 | 1.9 (0.6–5.8) | 0.23 |
| Double passage at sacrospinous ligament | 0.4 (0.1–0.9) | 0.04 | 0.6 (0.2–1.7) | 0.31 |
| Anterior colporrhaphy | 1.2 (0.5–3.0) | 0.67 | ||
| Posterior sacrospinous fixation | 1.1 (0.4–3.2) | 0.89 | ||
| Posterior colporrhaphy | 0.8 (0.2–4.0) | 0.81 | ||
HR: hazard ratio; BMI: body mass index; POP: pelvic organ prolapse; SSLF-A: anterior sacrospinous ligament fixation.