Table 3.
Recurrences of POP and retreatment after surgery
| Laparoscopic sacrohysteropexy (n = 53) | Vaginal sacrospinous hysteropexy (n = 52) |
p-value | |
|---|---|---|---|
| Composite outcome of success No./total no. of patients (%) | 12/29 (41.4) | 24/33 (72.7) | 0.073b |
|
Anatomical failure No./total no. of patients (%) |
|||
| During follow-up consultation at 6 weeks | |||
| Anterior compartment (Ba ≥ -1) | 3/26 (11.5) | 6/45 (13.3) | 0.827b |
| Apical compartment (C ≥ -1) | 0/33 (0.0) | 0/46 (0.0) | - |
| Posterior compartment (Bp ≥ -1) | 4/17 (23.5) | 1/33 (3.0) | 0.040b |
| During follow-up consultation at long-term follow-up | |||
| Anterior compartment (Ba ≥ -1) | 25/28 (89.3) | 25/33 (75.8) | 0.171b |
| Apical compartment (C ≥ -1) | 1/28 (3.6) | 1/33 (3.0) | 0.711b |
| Posterior compartment (Bp ≥ -1) | 6/26 (23.1) | 0/33 (0.0) | 0.006b |
|
Prolapse beyond hymen No./total no. of patients (%) |
|||
| During follow-up consultation at 6 weeks | |||
| Anterior compartment (Ba > 0) | 1/26 (3.8) | 3/45 (6.7) | 0.619b |
| Apical compartment (C > 0) | 0/33 (0.0) | 0/46 (0.0) | - |
| Posterior compartment (Bp > 0) | 2/17 (11.8) | 0/33 (0.0) | 0.044b |
| During follow-up consultation at long-term follow-up | |||
| Anterior compartment (Ba > 0) | 16/29 (55.2) | 17/33 (51.5) | 0.773b |
| Apical compartment (C > 0) | 1/29 (3.4) | 0/33 (0.0) | 0.282b |
| Posterior compartment (Bp > 0) | 3/27 (11.1) | 0/33 (0.0) | 0.049b |
|
Vaginal bulge symptoms No./total no. of patients (%) |
|||
| Symptoms for which patient consulted professional | 18/52 (34.6) | 11/52 (21.2) | 0.126b |
| Time to consulted professional (months) Median (IQR) | 22.0 (10.5–55.0) | 28.0 (25.0–31.0) | 0.306d |
| Recurrence POP on UDI questionnaire* | 16/43 (37.2) | 6/41 (14.6) | 0.019b |
|
Conservative retreatment No./total no. of patients (%) |
15/52 (28.8) | 6/52 (11.5) | 0.158b |
| Physical therapy | 12/52 (23.1) | 5/52 (9.6) | |
| Pessary treatment | 2/52 (3.8) | 1/52 (1.9) | |
| Combined | 1/52 (1.9) | 0/52 (0.0) | |
|
Surgical retreatment No./total no. of patients (%) |
7/53 (13.2) | 2/52 (3.8) | 0.242b |
| SSHP + ACR + PCR | 1/53 (1.9) | - | |
| VH + ACR | 1/53 (1.9) | - | |
| VH | - | 1/52 (1.9) | |
| MUS | 1/53 (1.9) | - | |
| ACR | 2/52 (3.8) | - | |
| VM | 2/52 (3.8) | - | |
| Manchester Fothergill + ACR | - | 1/52 (1.9) | |
| Time to surgical re-intervention (months) median (IQR) | 12.0 (6.9–34.4) | 9.2 (5.2–11.5) | 0.164d |
*Bulge symptoms on UDI questionnaire: ‘Slightly bothersome’ to ‘greatly bothersome’
SSHP = vaginal sacrospinous hysteropexy; ACR = anterior colporrhaphy; PCR = posterior colporrhaphy; VH = vaginal hysterectomy; MUS = mid-urethral sling; VM = vaginal mesh (Prolift anterior)
aStudent’s t-test
bPearson’s chi-square
dLog-rank test