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Reanalysis of a randomized trial of 3 techniques of anterior colporrhaphy using clinically relevant definitions of success.

Publication ,  Journal Article
Chmielewski, L; Walters, MD; Weber, AM; Barber, MD
Published in: Am J Obstet Gynecol
July 2011

OBJECTIVE: The purpose of this study was to reanalyze the results of a previously published trial that compared 3 methods of anterior colporrhaphy according to the clinically relevant definitions of success. STUDY DESIGN: A secondary analysis of a trial of 114 subjects who underwent surgery for anterior pelvic organ prolapse who were assigned randomly to standard anterior colporrhaphy, ultralateral colporrhaphy, or anterior colporrhaphy plus polyglactin 910 mesh from 1996-1999. For the current analysis, success was defined as (1) no prolapse beyond the hymen, (2) the absence of prolapse symptoms (visual analog scale ≤ 2), and (3) the absence of retreatment. RESULTS: Eighty-eight percent of the women met our definition of success at 1 year. One subject (1%) underwent surgery for recurrence 29 months after surgery. No differences among the 3 groups were noted for any outcomes. CONCLUSION: Reanalysis of a trial of 3 methods of anterior colporrhaphy revealed considerably better success with the use of clinically relevant outcome criteria compared with strict anatomic criteria.

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Published In

Am J Obstet Gynecol

DOI

EISSN

1097-6868

Publication Date

July 2011

Volume

205

Issue

1

Start / End Page

69.e1 / 69.e8

Location

United States

Related Subject Headings

  • Vagina
  • Treatment Outcome
  • Recurrence
  • Polyglactin 910
  • Pelvic Organ Prolapse
  • Obstetrics & Reproductive Medicine
  • Middle Aged
  • Humans
  • Gynecologic Surgical Procedures
  • Female
 

Citation

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Chmielewski, L., Walters, M. D., Weber, A. M., & Barber, M. D. (2011). Reanalysis of a randomized trial of 3 techniques of anterior colporrhaphy using clinically relevant definitions of success. Am J Obstet Gynecol, 205(1), 69.e1-69.e8. https://doi.org/10.1016/j.ajog.2011.03.027
Chmielewski, Lauren, Mark D. Walters, Anne M. Weber, and Matthew D. Barber. “Reanalysis of a randomized trial of 3 techniques of anterior colporrhaphy using clinically relevant definitions of success.Am J Obstet Gynecol 205, no. 1 (July 2011): 69.e1-69.e8. https://doi.org/10.1016/j.ajog.2011.03.027.
Chmielewski L, Walters MD, Weber AM, Barber MD. Reanalysis of a randomized trial of 3 techniques of anterior colporrhaphy using clinically relevant definitions of success. Am J Obstet Gynecol. 2011 Jul;205(1):69.e1-69.e8.
Chmielewski, Lauren, et al. “Reanalysis of a randomized trial of 3 techniques of anterior colporrhaphy using clinically relevant definitions of success.Am J Obstet Gynecol, vol. 205, no. 1, July 2011, pp. 69.e1-69.e8. Pubmed, doi:10.1016/j.ajog.2011.03.027.
Chmielewski L, Walters MD, Weber AM, Barber MD. Reanalysis of a randomized trial of 3 techniques of anterior colporrhaphy using clinically relevant definitions of success. Am J Obstet Gynecol. 2011 Jul;205(1):69.e1-69.e8.
Journal cover image

Published In

Am J Obstet Gynecol

DOI

EISSN

1097-6868

Publication Date

July 2011

Volume

205

Issue

1

Start / End Page

69.e1 / 69.e8

Location

United States

Related Subject Headings

  • Vagina
  • Treatment Outcome
  • Recurrence
  • Polyglactin 910
  • Pelvic Organ Prolapse
  • Obstetrics & Reproductive Medicine
  • Middle Aged
  • Humans
  • Gynecologic Surgical Procedures
  • Female