Carlos A Medina1, Keith Candiotti, Peter Takacs. 1. Department of Obstetrics and Gynecology, University of Miami, Miller School of Medicine, Miami, FL, USA. cmedina@med.miami.edu
Abstract
OBJECTIVE: To determine if a wide genital hiatus is a risk factor for recurrence of anterior vaginal wall prolapse following anterior vaginal repair. METHODS: A retrospective cohort study was performed on patients who had undergone an anterior vaginal wall repair. Patients were placed into 1 of 2 groups: wide genital hiatus (> or =5 cm) or normal genital hiatus (<5 cm). The wide genital hiatus group (n=35) was compared with the normal genital hiatus group (n=30) for surgical failure. RESULTS: There were no significant differences between the 2 groups in demographic data, additional operative procedures, or apical suspensions. The rate of postoperative anterior vaginal wall prolapse was greater in patients with a wide genital hiatus compared with those with a normal genital hiatus (34.3% vs 10% respectively; odds ratio 4.7 [95% confidence interval, 1.0-24.1]; P=0.02). CONCLUSION: The rate of recurrent anterior vaginal wall prolapse is higher in patients with a wide genital hiatus.
OBJECTIVE: To determine if a wide genital hiatus is a risk factor for recurrence of anterior vaginal wall prolapse following anterior vaginal repair. METHODS: A retrospective cohort study was performed on patients who had undergone an anterior vaginal wall repair. Patients were placed into 1 of 2 groups: wide genital hiatus (> or =5 cm) or normal genital hiatus (<5 cm). The wide genital hiatus group (n=35) was compared with the normal genital hiatus group (n=30) for surgical failure. RESULTS: There were no significant differences between the 2 groups in demographic data, additional operative procedures, or apical suspensions. The rate of postoperative anterior vaginal wall prolapse was greater in patients with a wide genital hiatus compared with those with a normal genital hiatus (34.3% vs 10% respectively; odds ratio 4.7 [95% confidence interval, 1.0-24.1]; P=0.02). CONCLUSION: The rate of recurrent anterior vaginal wall prolapse is higher in patients with a wide genital hiatus.
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