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• W3164011726 abstract "To determine whether the size of postoperative Genital Hiatus (GH) has an effect on the short-term success of native tissue apical suspension when comparing two types of suspension methods. A retrospective cohort study of all patients that underwent sacrospinous ligament fixation (SSLF) and uterosacral ligament suspension (USLS) at our institution between August 1, 2010 and May 29, 2016 was performed. Anatomic outcome is reported utilizing ICS Pelvic Organ Prolapse Quantification Systems (POP-Q). Surgical failure was defined as prolapse in any vaginal compartment to or beyond the level of the hymen. A comparison of parametric continuous variables was performed using student t test. Categorical variables were evaluated using Pearson’s chi squared test and Fisher exact test. A P value <0.05 was considered significant. A total of 152 patients who underwent native tissue apical suspension met inclusion criteria and were divided into two groups: SSLF (N= 95) and USLS (N= 55). Between SSLF and USLS groups there was significant difference in age (P=.044), however no difference in parity, BMI, smoking or menopausal state (Table 1). Preoperatively, there was no difference in size of genital hiatus (P =.979) or prolapse staging (P=.466) between the two groups. Patients in the SSLF group underwent significantly more enterocele repairs, while women in the USLS group underwent more hysterectomies and anterior repairs (Table 2). The mean follow-up times were similar in both groups (P=.247). Postoperatively, there was no difference in size of the GH between the two groups (2.57 ± 0.97 cm vs. 2.54 ± 0.69 cm, P=.837) (Table 3). There was a higher failure rate among the SSLF group (10.3%) compared to USLS (1.8%), but it was not significant (P=.058). However, significantly more women had greater than a stage 0 POP postoperatively in the SSLF group (P=.048). Among women in the SSLF group, the GH was wider in those who failed surgery compared to those who did not (2.36 ± 0.69 vs. 4.35 ± 1.23 cm, P<.001). The size of genital hiatus did not influence success between SSLF and USLS, however smaller postoperative genital hiatus is predictive of success in patients undergoing SSLF.View Large Image Figure ViewerDownload Hi-res image Download (PPT)View Large Image Figure ViewerDownload Hi-res image Download (PPT)" @default.
• W3164011726 created "2021-06-07" @default.
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• W3164011726 date "2021-06-01" @default.
• W3164011726 modified "2023-10-14" @default.
• W3164011726 title "69 Does size of postoperative genital hiatus influence surgical success of patients undergoing native tissue apical suspension for pelvic organ prolapse?" @default.
• W3164011726 doi "https://doi.org/10.1016/j.ajog.2021.04.094" @default.
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