Vaginal prolapse recurrence after uterosacral ligament suspension in normal-weight compared with overweight and obese women

Autumn L. Edenfield, Cindy L. Amundsen, Alison C. Weidner, Jennifer M. Wu, Amy George, Nazema Y. Siddiqui

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

OBJECTIVE: To compare recurrent prolapse after vaginal uterosacral ligament suspension in normal-weight compared with overweight or obese women. METHODS: We performed a retrospective cohort study of the risk of recurrent prolapse after uterosacral ligament suspension in normal-weight compared with overweight or obese women at our institution from December 1, 1996, through June 30, 2011. Women with fewer than 6 months of follow-up and those with a prior vault suspension were excluded. Our primary outcome was a composite measure defined as anterior, posterior, or apical prolapse recurrence extending beyond the hymen or repeat treatment for prolapse with surgery or a pessary in women undergoing uterosacral ligament suspension and other vaginal repairs. RESULTS: We included 219 participants (81 [37%] normal-weight and 138 [63%] overweight or obese women). There was no difference in median follow-up (14 months; interquartile range 8.5-26.5 months] in the normal-weight compared with 13 months [interquartile range 9.0-29.0 months] in the overweight or obese women, P=.98). Prolapse recurred in 22.2% (n518) of the normal-weight group and 26.1% (n536) of the overweight or obese group (P=.52). Surgery for recurrent prolapse was performed in 16.0% (n513) of the normal-weight women and in 14.5% (n520) of the overweight or obese women (P=.76). The most common site of recurrence was the anterior compartment (17.4% [n538]) compared with the apical compartment (8.7% [n519]) or posterior compartment (6.8% [n515]) with no significant difference between cohorts. CONCLUSIONS: After uterosacral ligament suspension, overweight or obese women have similar prolapse recurrence compared with normal-weight women. Anterior prolapse is the most common site of recurrence after uterosacral ligament suspension.

Original languageEnglish (US)
Pages (from-to)554-559
Number of pages6
JournalObstetrics and Gynecology
Volume121
Issue number3
DOIs
StatePublished - Mar 2013
Externally publishedYes

Fingerprint

Uterine Prolapse
Ligaments
Suspensions
Prolapse
Weights and Measures
Recurrence
Hymen
Pessaries
Cohort Studies
Retrospective Studies

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Vaginal prolapse recurrence after uterosacral ligament suspension in normal-weight compared with overweight and obese women. / Edenfield, Autumn L.; Amundsen, Cindy L.; Weidner, Alison C.; Wu, Jennifer M.; George, Amy; Siddiqui, Nazema Y.

In: Obstetrics and Gynecology, Vol. 121, No. 3, 03.2013, p. 554-559.

Research output: Contribution to journalArticle

Edenfield, Autumn L. ; Amundsen, Cindy L. ; Weidner, Alison C. ; Wu, Jennifer M. ; George, Amy ; Siddiqui, Nazema Y. / Vaginal prolapse recurrence after uterosacral ligament suspension in normal-weight compared with overweight and obese women. In: Obstetrics and Gynecology. 2013 ; Vol. 121, No. 3. pp. 554-559.
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abstract = "OBJECTIVE: To compare recurrent prolapse after vaginal uterosacral ligament suspension in normal-weight compared with overweight or obese women. METHODS: We performed a retrospective cohort study of the risk of recurrent prolapse after uterosacral ligament suspension in normal-weight compared with overweight or obese women at our institution from December 1, 1996, through June 30, 2011. Women with fewer than 6 months of follow-up and those with a prior vault suspension were excluded. Our primary outcome was a composite measure defined as anterior, posterior, or apical prolapse recurrence extending beyond the hymen or repeat treatment for prolapse with surgery or a pessary in women undergoing uterosacral ligament suspension and other vaginal repairs. RESULTS: We included 219 participants (81 [37{\%}] normal-weight and 138 [63{\%}] overweight or obese women). There was no difference in median follow-up (14 months; interquartile range 8.5-26.5 months] in the normal-weight compared with 13 months [interquartile range 9.0-29.0 months] in the overweight or obese women, P=.98). Prolapse recurred in 22.2{\%} (n518) of the normal-weight group and 26.1{\%} (n536) of the overweight or obese group (P=.52). Surgery for recurrent prolapse was performed in 16.0{\%} (n513) of the normal-weight women and in 14.5{\%} (n520) of the overweight or obese women (P=.76). The most common site of recurrence was the anterior compartment (17.4{\%} [n538]) compared with the apical compartment (8.7{\%} [n519]) or posterior compartment (6.8{\%} [n515]) with no significant difference between cohorts. CONCLUSIONS: After uterosacral ligament suspension, overweight or obese women have similar prolapse recurrence compared with normal-weight women. Anterior prolapse is the most common site of recurrence after uterosacral ligament suspension.",
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T1 - Vaginal prolapse recurrence after uterosacral ligament suspension in normal-weight compared with overweight and obese women

AU - Edenfield, Autumn L.

AU - Amundsen, Cindy L.

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AU - Wu, Jennifer M.

AU - George, Amy

AU - Siddiqui, Nazema Y.

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N2 - OBJECTIVE: To compare recurrent prolapse after vaginal uterosacral ligament suspension in normal-weight compared with overweight or obese women. METHODS: We performed a retrospective cohort study of the risk of recurrent prolapse after uterosacral ligament suspension in normal-weight compared with overweight or obese women at our institution from December 1, 1996, through June 30, 2011. Women with fewer than 6 months of follow-up and those with a prior vault suspension were excluded. Our primary outcome was a composite measure defined as anterior, posterior, or apical prolapse recurrence extending beyond the hymen or repeat treatment for prolapse with surgery or a pessary in women undergoing uterosacral ligament suspension and other vaginal repairs. RESULTS: We included 219 participants (81 [37%] normal-weight and 138 [63%] overweight or obese women). There was no difference in median follow-up (14 months; interquartile range 8.5-26.5 months] in the normal-weight compared with 13 months [interquartile range 9.0-29.0 months] in the overweight or obese women, P=.98). Prolapse recurred in 22.2% (n518) of the normal-weight group and 26.1% (n536) of the overweight or obese group (P=.52). Surgery for recurrent prolapse was performed in 16.0% (n513) of the normal-weight women and in 14.5% (n520) of the overweight or obese women (P=.76). The most common site of recurrence was the anterior compartment (17.4% [n538]) compared with the apical compartment (8.7% [n519]) or posterior compartment (6.8% [n515]) with no significant difference between cohorts. CONCLUSIONS: After uterosacral ligament suspension, overweight or obese women have similar prolapse recurrence compared with normal-weight women. Anterior prolapse is the most common site of recurrence after uterosacral ligament suspension.

AB - OBJECTIVE: To compare recurrent prolapse after vaginal uterosacral ligament suspension in normal-weight compared with overweight or obese women. METHODS: We performed a retrospective cohort study of the risk of recurrent prolapse after uterosacral ligament suspension in normal-weight compared with overweight or obese women at our institution from December 1, 1996, through June 30, 2011. Women with fewer than 6 months of follow-up and those with a prior vault suspension were excluded. Our primary outcome was a composite measure defined as anterior, posterior, or apical prolapse recurrence extending beyond the hymen or repeat treatment for prolapse with surgery or a pessary in women undergoing uterosacral ligament suspension and other vaginal repairs. RESULTS: We included 219 participants (81 [37%] normal-weight and 138 [63%] overweight or obese women). There was no difference in median follow-up (14 months; interquartile range 8.5-26.5 months] in the normal-weight compared with 13 months [interquartile range 9.0-29.0 months] in the overweight or obese women, P=.98). Prolapse recurred in 22.2% (n518) of the normal-weight group and 26.1% (n536) of the overweight or obese group (P=.52). Surgery for recurrent prolapse was performed in 16.0% (n513) of the normal-weight women and in 14.5% (n520) of the overweight or obese women (P=.76). The most common site of recurrence was the anterior compartment (17.4% [n538]) compared with the apical compartment (8.7% [n519]) or posterior compartment (6.8% [n515]) with no significant difference between cohorts. CONCLUSIONS: After uterosacral ligament suspension, overweight or obese women have similar prolapse recurrence compared with normal-weight women. Anterior prolapse is the most common site of recurrence after uterosacral ligament suspension.

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