Outcomes of vaginal vault prolapse repair with a high uterosacral suspension procedure utilizing bilateral single sutures

Thomas L. Wheeler, Kimberly A. Gerten, Holly E. Richter, Angela G. Duke, R. Edward Varner

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

The aim of this study was to describe an approach for performing a high uterosacral vaginal vault suspension and to report anatomical and subjective results. Anatomic measures and validated symptom-specific questionnaires were performed pre- and postoperatively. Patient satisfaction was also ascertained. Thirty-five women, who underwent a two-suture high uterosacral suspension, participated. Mean follow-up interval was 23.1±10.1 months. Postoperative point C was -7.8±1.60 (median, -8.0, range, -4.0 to -10.0), and the mean preoperative to postoperative change in point C was 5.9±5.56 cm (median 4.75, range -3.0 to 20.0, p-value<0.0001). Patient satisfaction was high with 88.9% indicating that they would have the surgery again. There were no ureteral injuries or kinks noted on intraoperative cystoscopy. No patient required reoperation for recurrent prolapse or urinary incontinence. Overall, the two-suture high uterosacral vaginal vault suspension is an acceptable technique for repairing apical prolapse.

Original languageEnglish (US)
Pages (from-to)1207-1213
Number of pages7
JournalInternational Urogynecology Journal
Volume18
Issue number10
DOIs
StatePublished - Oct 2007

Fingerprint

Pelvic Organ Prolapse
Sutures
Suspensions
Prolapse
Patient Satisfaction
Cystoscopy
Urinary Incontinence
Reoperation
Wounds and Injuries

Keywords

  • Outcomes
  • Uterosacral suspension
  • Vaginal surgery
  • Vaginal vault prolapse

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Urology

Cite this

Outcomes of vaginal vault prolapse repair with a high uterosacral suspension procedure utilizing bilateral single sutures. / Wheeler, Thomas L.; Gerten, Kimberly A.; Richter, Holly E.; Duke, Angela G.; Varner, R. Edward.

In: International Urogynecology Journal, Vol. 18, No. 10, 10.2007, p. 1207-1213.

Research output: Contribution to journalArticle

Wheeler, Thomas L. ; Gerten, Kimberly A. ; Richter, Holly E. ; Duke, Angela G. ; Varner, R. Edward. / Outcomes of vaginal vault prolapse repair with a high uterosacral suspension procedure utilizing bilateral single sutures. In: International Urogynecology Journal. 2007 ; Vol. 18, No. 10. pp. 1207-1213.
@article{dcd52ad7d49a4f259ffd8b6f58f70528,
title = "Outcomes of vaginal vault prolapse repair with a high uterosacral suspension procedure utilizing bilateral single sutures",
abstract = "The aim of this study was to describe an approach for performing a high uterosacral vaginal vault suspension and to report anatomical and subjective results. Anatomic measures and validated symptom-specific questionnaires were performed pre- and postoperatively. Patient satisfaction was also ascertained. Thirty-five women, who underwent a two-suture high uterosacral suspension, participated. Mean follow-up interval was 23.1±10.1 months. Postoperative point C was -7.8±1.60 (median, -8.0, range, -4.0 to -10.0), and the mean preoperative to postoperative change in point C was 5.9±5.56 cm (median 4.75, range -3.0 to 20.0, p-value<0.0001). Patient satisfaction was high with 88.9{\%} indicating that they would have the surgery again. There were no ureteral injuries or kinks noted on intraoperative cystoscopy. No patient required reoperation for recurrent prolapse or urinary incontinence. Overall, the two-suture high uterosacral vaginal vault suspension is an acceptable technique for repairing apical prolapse.",
keywords = "Outcomes, Uterosacral suspension, Vaginal surgery, Vaginal vault prolapse",
author = "Wheeler, {Thomas L.} and Gerten, {Kimberly A.} and Richter, {Holly E.} and Duke, {Angela G.} and Varner, {R. Edward}",
year = "2007",
month = "10",
doi = "10.1007/s00192-007-0305-0",
language = "English (US)",
volume = "18",
pages = "1207--1213",
journal = "International Urogynecology Journal and Pelvic Floor Dysfunction",
issn = "0937-3462",
publisher = "Springer London",
number = "10",

}

TY - JOUR

T1 - Outcomes of vaginal vault prolapse repair with a high uterosacral suspension procedure utilizing bilateral single sutures

AU - Wheeler, Thomas L.

AU - Gerten, Kimberly A.

AU - Richter, Holly E.

AU - Duke, Angela G.

AU - Varner, R. Edward

PY - 2007/10

Y1 - 2007/10

N2 - The aim of this study was to describe an approach for performing a high uterosacral vaginal vault suspension and to report anatomical and subjective results. Anatomic measures and validated symptom-specific questionnaires were performed pre- and postoperatively. Patient satisfaction was also ascertained. Thirty-five women, who underwent a two-suture high uterosacral suspension, participated. Mean follow-up interval was 23.1±10.1 months. Postoperative point C was -7.8±1.60 (median, -8.0, range, -4.0 to -10.0), and the mean preoperative to postoperative change in point C was 5.9±5.56 cm (median 4.75, range -3.0 to 20.0, p-value<0.0001). Patient satisfaction was high with 88.9% indicating that they would have the surgery again. There were no ureteral injuries or kinks noted on intraoperative cystoscopy. No patient required reoperation for recurrent prolapse or urinary incontinence. Overall, the two-suture high uterosacral vaginal vault suspension is an acceptable technique for repairing apical prolapse.

AB - The aim of this study was to describe an approach for performing a high uterosacral vaginal vault suspension and to report anatomical and subjective results. Anatomic measures and validated symptom-specific questionnaires were performed pre- and postoperatively. Patient satisfaction was also ascertained. Thirty-five women, who underwent a two-suture high uterosacral suspension, participated. Mean follow-up interval was 23.1±10.1 months. Postoperative point C was -7.8±1.60 (median, -8.0, range, -4.0 to -10.0), and the mean preoperative to postoperative change in point C was 5.9±5.56 cm (median 4.75, range -3.0 to 20.0, p-value<0.0001). Patient satisfaction was high with 88.9% indicating that they would have the surgery again. There were no ureteral injuries or kinks noted on intraoperative cystoscopy. No patient required reoperation for recurrent prolapse or urinary incontinence. Overall, the two-suture high uterosacral vaginal vault suspension is an acceptable technique for repairing apical prolapse.

KW - Outcomes

KW - Uterosacral suspension

KW - Vaginal surgery

KW - Vaginal vault prolapse

UR - http://www.scopus.com/inward/record.url?scp=35648951143&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=35648951143&partnerID=8YFLogxK

U2 - 10.1007/s00192-007-0305-0

DO - 10.1007/s00192-007-0305-0

M3 - Article

C2 - 17265169

AN - SCOPUS:35648951143

VL - 18

SP - 1207

EP - 1213

JO - International Urogynecology Journal and Pelvic Floor Dysfunction

JF - International Urogynecology Journal and Pelvic Floor Dysfunction

SN - 0937-3462

IS - 10

ER -