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Enlargement of the genital hiatus is associated with prolapse recurrence in patients undergoing sacrospinous ligament fixation.

Publication ,  Journal Article
Garcia, AN; Ulker, A; Aserlind, A; Timmons, D; Medina, CA
Published in: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
April 2022

To correlate genital hiatus (GH) size with surgical failures in patients undergoing sacrospinous ligament fixation (SSLF) and compare anatomic outcomes after classification based on GH size.A retrospective review of 81 patients who underwent SSLF for apical prolapse from 2010 to 2016 at a teaching hospital. Anatomical outcome is reported using the Pelvic Organ Prolapse Quantifications System. A comparison of parametric continuous variables was performed using unpaired Student t test. Categorical variables were evaluated using Pearson's χ2 test and Fisher's exact test. A P value <0.05 was considered significant.Among the 81 patients, no difference in age, parity, body mass index, preoperative prolapse stage or follow-up time was noted between those whose surgery succeeded and those with failed surgery. Postoperatively, a widened GH was significantly associated with recurrent prolapse (P < 0.001). When the preoperative size of the GH was dichotomized into widened (≥4 cm) or normal (<4 cm), there was a non-significant (P = 0.444) trend of more failures in the widened GH group. A posterior colporrhaphy did not improve success.Both preoperative and postoperative widened GH correlated with having more surgical failures following SSLF. Importantly, postoperatively a normal size GH was significantly associated with more surgical success.

Duke Scholars

Published In

International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

DOI

EISSN

1879-3479

ISSN

0020-7292

Publication Date

April 2022

Volume

157

Issue

1

Start / End Page

96 / 101

Related Subject Headings

  • Vagina
  • Treatment Outcome
  • Retrospective Studies
  • Pelvic Organ Prolapse
  • Obstetrics & Reproductive Medicine
  • Ligaments
  • Humans
  • Gynecologic Surgical Procedures
  • Female
  • 1114 Paediatrics and Reproductive Medicine
 

Citation

APA
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ICMJE
MLA
NLM
Garcia, A. N., Ulker, A., Aserlind, A., Timmons, D., & Medina, C. A. (2022). Enlargement of the genital hiatus is associated with prolapse recurrence in patients undergoing sacrospinous ligament fixation. International Journal of Gynaecology and Obstetrics: The Official Organ of the International Federation of Gynaecology and Obstetrics, 157(1), 96–101. https://doi.org/10.1002/ijgo.13828
Garcia, Alexandra N., Ashley Ulker, Alexandra Aserlind, Douglas Timmons, and Carlos A. Medina. “Enlargement of the genital hiatus is associated with prolapse recurrence in patients undergoing sacrospinous ligament fixation.International Journal of Gynaecology and Obstetrics: The Official Organ of the International Federation of Gynaecology and Obstetrics 157, no. 1 (April 2022): 96–101. https://doi.org/10.1002/ijgo.13828.
Garcia AN, Ulker A, Aserlind A, Timmons D, Medina CA. Enlargement of the genital hiatus is associated with prolapse recurrence in patients undergoing sacrospinous ligament fixation. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics. 2022 Apr;157(1):96–101.
Garcia, Alexandra N., et al. “Enlargement of the genital hiatus is associated with prolapse recurrence in patients undergoing sacrospinous ligament fixation.International Journal of Gynaecology and Obstetrics: The Official Organ of the International Federation of Gynaecology and Obstetrics, vol. 157, no. 1, Apr. 2022, pp. 96–101. Epmc, doi:10.1002/ijgo.13828.
Garcia AN, Ulker A, Aserlind A, Timmons D, Medina CA. Enlargement of the genital hiatus is associated with prolapse recurrence in patients undergoing sacrospinous ligament fixation. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics. 2022 Apr;157(1):96–101.

Published In

International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

DOI

EISSN

1879-3479

ISSN

0020-7292

Publication Date

April 2022

Volume

157

Issue

1

Start / End Page

96 / 101

Related Subject Headings

  • Vagina
  • Treatment Outcome
  • Retrospective Studies
  • Pelvic Organ Prolapse
  • Obstetrics & Reproductive Medicine
  • Ligaments
  • Humans
  • Gynecologic Surgical Procedures
  • Female
  • 1114 Paediatrics and Reproductive Medicine