Long-term Outcomes of Abdominal Sacrocolpopexy for Prolapse
Long-term Outcomes of Abdominal Sacrocolpopexy for Prolapse
Nygaard I, Brubaker L, Zyczynski HM, et al. Long-term outcomes following abdominal sacrocolpopexy for pelvic organ prolapse. JAMA. 2013;309(19):2016-2024. Level of evidence: II-3.
This long-term follow-up of the randomized, masked 2-year Colpopexy and Urinary Reduction Efforts (CARE) trial aimed to describe anatomic and symptomatic outcomes up to 7 years after abdominal sacrocolpopexy (ASC) and to examine whether they are affected by Burch urethropexy, a concomitant anti-incontinence surgery. It examined 215 (92%) of eligible 2-year CARE trial completers. Of these, 181 (84%) and 126 (59%) completed 5 and 7 years of follow-up. After a median follow-up of 7 years, abdominal sacrocopolpopexy failure rates increased in both groups. Urethropexy prevented stress urinary incontinence longer than no urethropexy. Researchers concluded that long-term risks of mesh or suture erosion should be considered with abdominal sacrocolpopexy.
Summary
Nygaard I, Brubaker L, Zyczynski HM, et al. Long-term outcomes following abdominal sacrocolpopexy for pelvic organ prolapse. JAMA. 2013;309(19):2016-2024. Level of evidence: II-3.
This long-term follow-up of the randomized, masked 2-year Colpopexy and Urinary Reduction Efforts (CARE) trial aimed to describe anatomic and symptomatic outcomes up to 7 years after abdominal sacrocolpopexy (ASC) and to examine whether they are affected by Burch urethropexy, a concomitant anti-incontinence surgery. It examined 215 (92%) of eligible 2-year CARE trial completers. Of these, 181 (84%) and 126 (59%) completed 5 and 7 years of follow-up. After a median follow-up of 7 years, abdominal sacrocopolpopexy failure rates increased in both groups. Urethropexy prevented stress urinary incontinence longer than no urethropexy. Researchers concluded that long-term risks of mesh or suture erosion should be considered with abdominal sacrocolpopexy.