Analysis of risk factors associated with surgical failure of sacrospinous suspension for uterine or vaginal vault prolapse |
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Authors: | Huey-Yi Chen Tsan-Hung Chiu Ming Ho Yao-Ching Hung |
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Affiliation: | (1) Department of Obstetrics and Gynecology, China Medical University Hospital, No. 2 Yu-Der Road, Taichung, 404, Taiwan;(2) Graduate Institute of Integrated Medicine, China Medical University, Taichung, Taiwan;(3) School of Chinese Medicine, China Medical University, Taichung, Taiwan;(4) School of Medicine, China Medical University, Taichung, Taiwan |
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Abstract: | The goal of this study was to analyze the potential risk factors determining surgical failure after sacrospinous suspension for uterine or vaginal vault prolapse. Each woman underwent a detailed history taking and a vaginal examination before treatment. Follow-up evaluations were at immediate post-operation, 1 week, 1 to 3 months, 6 months, 9 months, and annually after the operation. The surgical failure rate (27/168) following sacrospinous suspension was 16.1%. Using multivariable logistic regression, women with the presence of C or D point stage I at immediate post-operation were a significant risk factor for surgical failure after sacrospinous suspension (odds ratio, 35.34; 95% confidence interval, 8.75–162.75; p < 0.001). The success rate during the 18-month follow-up decreased significantly in women with the presence of C or D point stage I at immediate post-operation than stage 0. Although the sample size of women with symptomatic uterine or vaginal vault prolapse is small, impaired correction of anatomic defects is a significant risk factor for surgical failure of sacrospinous suspension. |
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Keywords: | Sacrospinous suspension Uterine prolapse Vaginal vault prolapse |
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