Table 2.
Perioperative data and complications
| Laparoscopic sacrohysteropexy (n = 53) | Vaginal sacrospinous hysteropexy (n = 52) |
p-value | |
|---|---|---|---|
| Operative time (minutes) Median (IQR) | 117 (110–123) | 67 (60–73) | < 0.001c |
| Estimated blood loss (ml) Mean (95% CI) | 60 (44–74) | 168 (131–205) | < 0.001a |
| Hospital stay (days) Mean (95% CI) | 4 (3.5–4.2) | 3 (3.0–3.5) | 0.006a |
|
Perioperative complications No./total no. of patients (%) |
0.396b | ||
| One or more complications | 2/53 (3.8) | 1/52 (1.9) | |
| Bleeding | 1/53 (1.9) | - | |
| Alternative mesh fixation | 1/53 (1.9) | - | |
| Anesthesia-induced complication | - | 1/52 (1.9) | |
|
Concomitant surgery No./total no. of patients (%) |
17/53 (32.1) | 46/52 (88.5) | < 0.001b |
| None | 36/53 (67.9) | 6/52 (11.5) | |
| ACR | - | 33/52 (63.5) | |
| PCR | 1/53 (1.9) | 3/52 (5.8) | |
| ACR + PCR | - | 4/52 (7.5) | |
| Perineorrhaphy | 3/53 (5.7) | - | |
| ACR + perineorrhaphy | - | 3/52 (5.8) | |
| PCR + MUS | - | 1/52 (1.9) | |
| ACR + PCR + MUS | - | 1/52 (1.9) | |
| VM | - | 1/52 (1.9) | |
| MUS | 3/53 (5.7) | - | |
| Other than for POP/UI | 9/53 (17.0) | - | |
|
Postoperative complications < 2 weeks No./total no. of patients (%) |
0.458b | ||
| One or more complications | 7/53 (13.2) | 12/52 (23.1) | |
| Ileus | 1/53 (1.9) | - | |
| Abdominal wall hematoma | 1/53 (1.9) | - | |
| Retroperitoneal hematoma | - | 1/52 (1.9) | |
| Urinary tract infection | 2/53 (3.8) | 1/52 (1.9) | |
| Urinary retention (> 150 ml) | 2/53 (3.8) | 7/52 (13.5) | |
| Anemia | - | 4/52 (7.5) | |
|
Postoperative complications > 2 weeks No./total no. of patients (%) |
0.381b | ||
| One or more complications | 12/53 (22.6) | 9/52 (17.3) | |
| Recurrent urinary tract infection | - | 2/52 (3.8) | |
| Urinary retention (> 150 ml) | 1/53 (1.9) | 1/52 (1.9) | |
| De novo dyspareunia | 1/53 (1.9) | 3/52 (5.8) | |
| Bottom pain | - | 2/52 (3.8) | |
| Constipation | 2/53 (3.8) | - | |
| Abdominal pain | 6/53 (11.3) | - | |
| Exposure mesh | 3/53 (5.7) | - | |
| Exposure sutures | - | 1/52 (1.9) |
ACR = anterior colporrhaphy; PCR = posterior colporrhaphy; MUS = mid-urethral sling; VM = vaginal mesh (Prolift anterior); POP = pelvic organ prolapse; UI = urine incontinence
aStudent’s t-test
bPearson’s chi-square
cMann-Whitney test