Long-term outcomes after sacrocolpopexy with or without transobturator tape

Introduction and hypothesis The aim of this study was to report the long-term outcomes after sacrocolpopexy (SCP) with or without transobturator tape (TOT). Methods We conducted a planned secondary analysis of a prospective, observational study comparing urinary outcomes in women who underwent SCP w...

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Veröffentlicht in:International Urogynecology Journal 2021-06, Vol.32 (6), p.1481-1486
Hauptverfasser: Lee, Maria, Joo, Se-Gyeong, Kim, Tae Yeon, Yoo, Eun-Hee, Jeon, Myung Jae
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Sprache:eng
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Zusammenfassung:Introduction and hypothesis The aim of this study was to report the long-term outcomes after sacrocolpopexy (SCP) with or without transobturator tape (TOT). Methods We conducted a planned secondary analysis of a prospective, observational study comparing urinary outcomes in women who underwent SCP with or without TOT based on the results of a prolapse-reduction stress test. Patients were enrolled between November 2008 and December 2011 and were followed up 5 years after surgery. The primary outcomes were 5-year success rates for stress urinary incontinence (SUI) and pelvic organ prolapse (POP) estimated using the Kaplan–Meier method. SUI success was defined as a negative cough stress test, no bothersome SUI symptoms, and no additional anti-incontinence surgery. POP success was defined as no vaginal bulge symptoms, no apical descent greater than one-third of the total vaginal length or anterior or posterior vaginal wall prolapse beyond the hymen, and no retreatment for prolapse. Results Of 240 women enrolled, 175 (73%) completed 5 years of follow-up. The estimated SUI success rate was 91.1% in the TOT group and 56.5% in the no TOT group (difference, 34.6%; 95% confidence interval, 24.1 to 45.1). The estimated POP success rate was 90.0% in the TOT group and 92.9% in the no TOT group (difference, −2.9%; 95% confidence interval, −10.7 to 4.9). Conclusions The advantage of concomitant TOT for SUI after SCP that was seen at 2 years remained at 5 years. Long-term POP failure rates after SCP are low and not affected by concomitant TOT.
ISSN:0937-3462
1433-3023
DOI:10.1007/s00192-020-04306-4