Skip to main content

Apical prolapse repair: weighing the risks and benefits.

Publication ,  Journal Article
Hill, AJ; Barber, MD
Published in: Curr Opin Obstet Gynecol
October 2015

PURPOSE OF REVIEW: This article reviews the current literature regarding surgical repair of vaginal apical prolapse and discusses the risks and benefits of various surgical approaches. RECENT FINDINGS: Vaginal uterosacral ligament suspension has similar anatomic and subjective outcomes to sacrospinous ligament fixation at 1 year. Native tissue vaginal repairs offer decreased morbidity compared with mesh-augmented sacrocolpopexy; however, sacrocolpopexy has greater anatomic success. Minimally invasive sacrocolpopexy appears to be equivalent to open abdominal sacrocolpopexy. Native tissue repairs and transvaginal mesh kits support the vaginal apex with similar results; however, long-term follow-up is needed. Robotic and laparoscopic sacrocolpopexy are equally effective in restoring the vaginal apex. SUMMARY: Surgical restoration of the vaginal apex can be accomplished via a variety of approaches and techniques. When deciding on the proper surgical intervention, the surgeon must carefully calculate the risks and benefits of each procedure while incorporating the patient's individual medical and surgical risk factors. Lastly, a discussion regarding the patient's overall goals of care is paramount to the decision-making process.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Curr Opin Obstet Gynecol

DOI

EISSN

1473-656X

Publication Date

October 2015

Volume

27

Issue

5

Start / End Page

373 / 379

Location

England

Related Subject Headings

  • Vagina
  • Treatment Outcome
  • Surgical Mesh
  • Risk Factors
  • Risk Assessment
  • Pelvic Organ Prolapse
  • Patient Selection
  • Obstetrics & Reproductive Medicine
  • Humans
  • Gynecologic Surgical Procedures
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Hill, A. J., & Barber, M. D. (2015). Apical prolapse repair: weighing the risks and benefits. Curr Opin Obstet Gynecol, 27(5), 373–379. https://doi.org/10.1097/GCO.0000000000000203
Hill, Audra Jolyn, and Matthew D. Barber. “Apical prolapse repair: weighing the risks and benefits.Curr Opin Obstet Gynecol 27, no. 5 (October 2015): 373–79. https://doi.org/10.1097/GCO.0000000000000203.
Hill AJ, Barber MD. Apical prolapse repair: weighing the risks and benefits. Curr Opin Obstet Gynecol. 2015 Oct;27(5):373–9.
Hill, Audra Jolyn, and Matthew D. Barber. “Apical prolapse repair: weighing the risks and benefits.Curr Opin Obstet Gynecol, vol. 27, no. 5, Oct. 2015, pp. 373–79. Pubmed, doi:10.1097/GCO.0000000000000203.
Hill AJ, Barber MD. Apical prolapse repair: weighing the risks and benefits. Curr Opin Obstet Gynecol. 2015 Oct;27(5):373–379.

Published In

Curr Opin Obstet Gynecol

DOI

EISSN

1473-656X

Publication Date

October 2015

Volume

27

Issue

5

Start / End Page

373 / 379

Location

England

Related Subject Headings

  • Vagina
  • Treatment Outcome
  • Surgical Mesh
  • Risk Factors
  • Risk Assessment
  • Pelvic Organ Prolapse
  • Patient Selection
  • Obstetrics & Reproductive Medicine
  • Humans
  • Gynecologic Surgical Procedures