INTRODUCTION AND HYPOTHESIS: Our objective was to test the hypothesis that cystocele repair, in the absence of hysterectomy or apical suspension, results in higher cervix location in some women. METHODS: We performed a retrospective chart review of women with a uterus in situ who underwent native tissue anterior repair without hysterectomy/apical suspension from 2008 to 2014. Demographics, medical history, and preoperative and 6-week postoperative Pelvic Organ Prolapse Quantification System measurements were abstracted. Cervix location was defined by the clinic Pelvic Organ Prolapse Quantification System point C value. Women with higher (more negative) postoperative point C values were compared with those with a lower (more positive)/unchanged point C. RESULTS: Of the 33 women included, mean age was 59.8 ± 11.3 years. Median preoperative point C was -6.0 (interquartile range [IQR]: -6.75, -5.0) and point Ba was +2.0 (IQR: +0.5, +3.0). Point C was higher postoperatively in 21 (64%) of 33 women. Overall, point C was 1 cm higher post- versus preoperatively (-7.0 [IQR: -8.0, -6.0] vs -6.0 [IQR: -6.75, -5.0], P < 0.001) and point Ba was 4 cm higher (-2 [IQR: -3.0, -2.0] vs 2.0 [IQR: 0.5, 3.0], P < 0.001). Compared with women with lower/unchanged postoperative point C, those with higher point C were older (53.9 ± 12.3 vs 63.1 ± 9.4, P = 0.02) with lower parity (3.0 [IQR: 2.0, 3.0] vs 2.0 [IQR: 2.0, 3.0], P = 0.028). CONCLUSIONS: The test of our hypothesis shows that in certain women with cystocele, anterior repair alone may be associated with higher cervix location 6 weeks postoperatively.
INTRODUCTION AND HYPOTHESIS: Our objective was to test the hypothesis that cystocele repair, in the absence of hysterectomy or apical suspension, results in higher cervix location in some women. METHODS: We performed a retrospective chart review of women with a uterus in situ who underwent native tissue anterior repair without hysterectomy/apical suspension from 2008 to 2014. Demographics, medical history, and preoperative and 6-week postoperative Pelvic Organ Prolapse Quantification System measurements were abstracted. Cervix location was defined by the clinic Pelvic Organ Prolapse Quantification System point C value. Women with higher (more negative) postoperative point C values were compared with those with a lower (more positive)/unchanged point C. RESULTS: Of the 33 women included, mean age was 59.8 ± 11.3 years. Median preoperative point C was -6.0 (interquartile range [IQR]: -6.75, -5.0) and point Ba was +2.0 (IQR: +0.5, +3.0). Point C was higher postoperatively in 21 (64%) of 33 women. Overall, point C was 1 cm higher post- versus preoperatively (-7.0 [IQR: -8.0, -6.0] vs -6.0 [IQR: -6.75, -5.0], P < 0.001) and point Ba was 4 cm higher (-2 [IQR: -3.0, -2.0] vs 2.0 [IQR: 0.5, 3.0], P < 0.001). Compared with women with lower/unchanged postoperative point C, those with higher point C were older (53.9 ± 12.3 vs 63.1 ± 9.4, P = 0.02) with lower parity (3.0 [IQR: 2.0, 3.0] vs 2.0 [IQR: 2.0, 3.0], P = 0.028). CONCLUSIONS: The test of our hypothesis shows that in certain women with cystocele, anterior repair alone may be associated with higher cervix location 6 weeks postoperatively.
Authors: R C Bump; A Mattiasson; K Bø; L P Brubaker; J O DeLancey; P Klarskov; B L Shull; A R Smith Journal: Am J Obstet Gynecol Date: 1996-07 Impact factor: 8.661
Authors: Jerry L Lowder; Sallie S Oliphant; Jonathan P Shepherd; Chiara Ghetti; Gary Sutkin Journal: Am J Obstet Gynecol Date: 2015-12-21 Impact factor: 8.661
Authors: Kristin Rooney; Kimberly Kenton; Elizabeth R Mueller; Mary Pat FitzGerald; Linda Brubaker Journal: Am J Obstet Gynecol Date: 2006-12 Impact factor: 8.661
Authors: Yvonne Hsu; Luyun Chen; Aimee Summers; James A Ashton-Miller; John O L DeLancey; James O L DeLancey Journal: Int Urogynecol J Pelvic Floor Dysfunct Date: 2007-06-20
Authors: Aisha Yousuf; Luyun Chen; Kindra Larson; James A Ashton-Miller; John O L DeLancey Journal: Int Urogynecol J Date: 2014-04-16 Impact factor: 2.894
Authors: Caroline Kieserman-Shmokler; Carolyn W Swenson; Luyun Chen; Lisa M Desmond; James A Ashton-Miller; John O DeLancey Journal: Am J Obstet Gynecol Date: 2019-10-19 Impact factor: 8.661