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Abdominal sacral colpopexy with allograft fascia lata: one-year outcomes
Michael K Flynn1, George D Webster, Cindy L Amundsen
1Department of Obstetrics and Gynecology, Division of Gynecology Specialties, Duke University Medical Center, Durham, NC, USA.
Objective:
The purpose of this study was to assess 1-year outcomes of sacral colpopexy with the use of allograft fascia lata.
Study Design:
Records of all subjects who underwent sacral colpopexy with allograft fascia lata from May 1, 2001, to April 30, 2003, were reviewed. Subjects underwent pre- and postoperative evaluation of prolapse with the pelvic organ prolapse quantification system. The Fisher's exact test was used to analyze the results.
Results:
Allograft fascia lata was used for 24 colpopexies during this period. No significant intraoperative or postoperative complications or graft erosions occurred. Five subjects were lost to follow-up after 3 months. Analysis was performed on the remaining 19 subjects. Prolapse of stage 2 or more in compartments Aa, Ba, Ap, Bp, and C was preoperatively 50%, 74%, 78%, 84%, and 68% and postoperatively 11%, 16%, 21%, 26%, and 5%, respectively.
Conclusion:
Allograft fascia lata may be a suitable alternative to permanent mesh for sacral colpopexy, but longer-term outcomes and larger studies are needed.