Recurrence Rate of Pelvic Organ Prolapse after Total Vaginal Hysterectomy with Anteroposterior Colporrhaphy

This study aimed to estimate the recurrence rate of pelvic organ prolapse (POP) following traditional total vaginal hysterectomy (TVH) with anteroposterior (AP) colporrhaphy using the Pelvic Organ Prolapse-Quantification (POP-Q) system, to evaluate the utility of these classical surgical approaches, and to identify risk factors associated with recurrence after pelvic organ prolapse surgery. In this retrospective cohort study, data were collected from 158 patients who underwent TVH with AP colporrhaphy for POP at Chonnam National University Hospital between January 2015 and April 2020 and had follow-up data exceeding 6 months. Data regarding age, body mass index, menopausal status, prolapse severity, surgical method, and POP-Q stage during outpatient post-operative tracking were collected. All 158 patients underwent TVH. Of these, 147 (93.0%) underwent TVH with AP colporrhaphy; two (1.3%) underwent hysterectomy with anterior colporrhaphy, and nine (5.7%) underwent hysterectomy with posterior colporrhaphy. Before the initial surgery, 16 (10.1%), 113 (71.5%), and 29 (18.3%) patients had stages II, III, and IV disease, respectively. The anterior compartment was the most commonly affected (74.1%), followed by the apical (19.6%) and the posterior (6.3%) compartments. Recurrence was observed in 13 patients (8.2%). Parity, menopausal status, and stage of POP did not significantly influence disease recurrence. Traditional TVH with AP colporrhaphy is associated with a relatively low recurrence rate and, thus, remains a valuable surgical treatment option for POP.