Related Experiment Video
Updated: Jun 17, 2026
Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse
Published on: October 25, 2024
Anatomic outcomes of abdominal sacrocolpopexy with or without paravaginal repair
Stuart H Shippey1, Lieschen H Quiroz, Tatiana V D Sanses
1Department of Gynecology and Obstetrics, Johns Hopkins Bayview Medical Center, 4940 Eastern Avenue, Rm A-121, Baltimore, MD 21224-2780, USA. shshippey@yahoo.com
Introduction And Hypothesis:
We sought to compare rates of recurrent cystocele following sacrocolpopexy with and without paravaginal repair (PVR).
Methods:
This retrospective cohort study compared outcomes for patients undergoing sacrocolpopexy with (group A) and without (group B) concomitant PVR. Defining anterior failure as point Ba > or = -1 cm, we compared anatomic outcomes and reoperation rates for recurrence of cystocele.
Results:
One hundred seventy patients undergoing sacrocolpopexy had anterior wall prolapse at or beyond the hymen before surgery (62 in group A and 108 in group B). Ten (16.1%) patients in group A and 29 (26.9%) in group B experienced anterior wall prolapse to or beyond -1 cm (p = 0.13, power 0.38). Among these groups, one (1.6%) and five (4.6%) underwent reoperation for cystocele recurrence (p=0.42, power <0.3).
Conclusions:
Despite the trend toward improved clinical outcomes, we were unable to detect a statistically significant difference with inclusion of PVR with sacrocolpopexy.
