Perioperative outcomes of laparoscopic sacrocolpopexy with and without hysterectomy: a secondary analysis of the national surgical quality improvement program database
Abstract
Introduction and hypothesis The objective was to compare 30-day perioperative complications in women undergoing minimally invasive sacrocolpopexy with and without a concomitant hysterectomy.Methods Using the American College of Surgeons National Surgical Quality Improvement Program database, we identified women undergoing minimally invasive sacrocolpopexy between 2014 and 2018. Women were then stratified into two groups: sacrocolpopexy only and sacrocolpopexy + hysterectomy. The primary outcome was the occurrence of any 30-day postoperative complication. Group comparisons were performed using Student's t test, Mann-Whitney U test, and Chi-squared test. Multivariate logistic regression was used to identify independent factors associated with the occurrence of any complication.Results A total of 8,553 women underwent laparoscopic sacrocolpopexy, 5,123 (59.9%) of whom had a concomitant hysterectomy. Median operative time was longer in women who had sacrocolpopexy + hysterectomy compared with sacrocolpopexy alone (185 [129-241] versus 172 [130-224] min, p < 0.001). The rate of any 30-day postoperative complication did not differ between groups (sacrocolpopexy + hysterectomy 5.5% versus sacrocolpopexy alone 5.8%, p = 0.34). Likewise, organ space, deep, and superficial surgical site infections did not differ between groups. There was also no difference in reoperation or readmission rates between groups. On multivariate logistic regression, sacrocolpopexy + hysterectomy were not associated with increased odds of 30-day postoperative complications relative to women who underwent sacrocolpopexy alone.Conclusions Complication rates during the first 30 days after minimally invasive sacrocolpopexy are low and concomitant hysterectomy is not associated with increased risks of 30-day complications after surgery.
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Existing studies suggest that uterine-preserving surgery has similar or lower procedural complication rates than hysterectomy for POP treatment, but many do not distinguish native tissue from mesh repairs, do not control for perioperative risk factors, or overrely on P value interpretation.
“Additionally, existing studies suggest that UP surgery has similar or lower procedural complication rates than hysterectomy for POP treatment 11,54,55 ; however, many do not distinguish native tissue from mesh repairs, do not control for perioperative risk factors (eg, comorbidities), or overrely on P value interpretation.56”
From Hysterectomy versus uterine preservation for pelvic organ prolapse surgery: a prospective cohort study (2025) · cites this paper as [54]
Studies have linked morcellation in the retrieval bag during SCH with an increased risk of SSIs.
“Studies have linked morcellation in the retrieval bag during SCH with an increased risk of SSIs [23].”
From Composite Failure Associated With Sacrohysteropexy and Sacrocolpopexy With Supracervical Hysterectomy for Advanced Pelvic Organ Prolapse (2025) · cites this paper as [23]
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“Notably, in the current study, no complications, such SSIs, occurred within 30 days of SHP. Studies have linked morcellation in the retrieval bag during SCH with an increased risk of SSIs [23].”
- Authors
- Brown, O., Mou, T., Das, D., Collins, S., Kenton, K., & Bretschneider, C. E.
- Affiliations
- Northwestern University (US)
- Corresponding author
- Brown, Oluwateniola
- ORCID
- Venue
- International Urogynecology Journal
- Published
- 2021-03-01
- Volume
- 33
- Issue
- 7
- Pages
- 1889-1895
- ISSN
- 0937-3462 (ISSN-L)
- 1433-3023
- OpenAlex
- W3134410329
- Cited by
- 8
- References
- 24
- Citations by year
- 2025: 1 · 2024: 4 · 2023: 1 · 2022: 1 · 2021: 1
- FWCI
- 1.32
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Urogynecology Journal (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
- Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
- Health Sciences › Medicine › Surgery › Hernia repair and management
- Keywords
- laparoscopic sacrocolpopexy, hysterectomy, concomitant hysterectomy, 30-day postoperative complications, surgical site infection, pelvic organ prolapse, minimally invasive surgery, reoperation, hospital readmission, operative time
- MeSH terms
- Female, Humans, Hysterectomy, Laparoscopy, Postoperative Complications, Retrospective Studies, Quality Improvement
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