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A Long-Term Treatment Outcome of Abdominal Sacrocolpopexy

Cited 19 time in Web of Science Cited 20 time in Scopus
Authors
Jeon, Myung Jae; Moon, Yeo Jung; Jung, Hyun Joo; Lim, Kyung Jin; Kim, Sei Kwang; Bai, Sang Wook; Yang, Hyo In
Issue Date
2009-12-31
Publisher
YONSEI UNIV COLLEGE MEDICINE
Citation
YONSEI MEDICAL JOURNAL; Vol.50 6; 807-813
Keywords
Abdominal sacrocolpopexyprolapsetreatment outcome
Abstract
Purpose: The aim of this study was to evaluate the long-term treatment outcome and major complication rates of abdominal sacrocolpopexy (ASC). Materials and Methods: This retrospective study included 57 Korean women who underwent ASC with mesh for symptomatic uterine or vault prolapse and attended follow-up visits for at least 5 years. Forty-seven women with urodynamic stress incontinence concomitantly received a modified Burch colposuspension. The long-term anatomical and functional outcomes and complication rates were assessed. Results: The median follow-up was 66 months (range 60-108). Overall anatomical success rates (no recurrence of any prolapse >= stage II according to the pelvic organ prolapse-quantification system) were 86.0%. Urinary urgency and voiding dysfunction were significantly improved after surgery, however, recurrent stress urinary incontinence developed in 44.7% (21/47) of cases and half of them developed within 1-3 months post-op. Bowel function (constipation and fecal incontinence) and sexual function (sexual activity and dyspareunia) did not significantly change after surgery. Major complication requiring reoperation or intensive care developed in 12 (21.0%) cases. Conclusion: ASC provides durable pelvic support, however, it may be ineffective for alleviating pelvic floor dysfunction except for urinary urgency and voiding dysfunction, and it contains major complication risk that cannot be overlooked.
ISSN
0513-5796
Language
English
URI
http://hdl.handle.net/10371/76736
DOI
https://doi.org/10.3349/ymj.2009.50.6.807
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College of Medicine/School of Medicine (의과대학/대학원)Obstetrics & Gynecology (산부인과전공)Journal Papers (저널논문_산부인과학전공)
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