Long-term success of abdominal sacral colpopexy using synthetic mesh
Abstract
Objective The aim was to determine the minimum meaningful study period required for prospective trials involving sacral colpopexy.Study design This is a retrospective analysis of 245 patients who underwent sacral colpopexy. Postoperative pelvic organ prolapse quantitation was our objective end point. In an effort to control for selection bias, patients who returned for postoperative examinations were compared with those who did not for clinical and demographic information. A validated prolapse-specific quality of life instrument was used to determine the subjective end points.Results Objective failure (any postoperative POP-Q point > or = stage II) was found in 37 (15.1%) patients. Of these, 26 (70.3%) occurred within 6 months, and 30 (81.1%) occurred within 1 year. Another 5 objective failures were discovered between 1 and 2 years after surgery for a total of 94.6% of failures occurring within 2 years. There were no clinically significant differences between the groups of women with and without objective postoperative follow-up, indicating minimal selection bias.Conclusion It is reasonable to construct randomized controlled trials involving sacral colpopexy that only include 1- or 2-year follow-up.
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Research has shown that 1-year outcomes generally reflect POP outcomes at 5 years.
“Although research has shown that 1-year outcomes was measured in our study generally reflect POP outcomes at 5 years, 70”
From Hysterectomy versus uterine preservation for pelvic organ prolapse surgery: a prospective cohort study (2025) · cites this paper as [70]
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- Authors
- Culligan, P. J., Murphy, M., Blackwell, L., Hammons, G., Graham, C., & Heit, M. H.
- Affiliations
- University of Louisville (US)
- Venue
- American Journal of Obstetrics and Gynecology
- Publisher
- Elsevier BV
- Published
- 2002-12
- Volume
- 187
- Issue
- 6
- Pages
- 1473-1482
- ISSN
- 0002-9378 (ISSN-L)
- OpenAlex
- W2091681680
- Cited by
- 216
- References
- 14
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 7 · 2023: 5 · 2022: 5 · 2021: 5 · 2020: 10 · 2019: 6 · 2018: 2 · 2017: 9 · 2016: 6 · 2015: 9 · 2014: 8 · 2013: 15 · 2012: 17
- FWCI
- 4.54
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Obstetrics and Gynecology (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
- sacrocolpopexy, synthetic mesh, pelvic organ prolapse, postoperative follow-up duration, selection bias, POP-Q staging, long-term surgical outcomes
- MeSH terms
- Adult, Aged, Aged, 80 and over, Female, Humans, Middle Aged, Retrospective Studies, Sacrococcygeal Region, Gynecologic Surgical Procedures, Surgical Mesh, Time Factors, Uterine Prolapse, Vagina, Treatment Failure
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