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Female Pelvic Med Reconstr Surg. 2018 Jan/Feb;24(1):56-59. doi: 10.1097/SPV.0000000000000438.

Effect of Cystocele Repair on Cervix Location in Women With Uterus In Situ.

Author information

1
From the Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI.

Abstract

INTRODUCTION AND HYPOTHESIS:

Our objective was to test the hypothesis that cystocele repair, in the absence of hysterectomy or apical suspension, results in higher cervix location in some women.

METHODS:

We performed a retrospective chart review of women with a uterus in situ who underwent native tissue anterior repair without hysterectomy/apical suspension from 2008 to 2014. Demographics, medical history, and preoperative and 6-week postoperative Pelvic Organ Prolapse Quantification System measurements were abstracted. Cervix location was defined by the clinic Pelvic Organ Prolapse Quantification System point C value. Women with higher (more negative) postoperative point C values were compared with those with a lower (more positive)/unchanged point C.

RESULTS:

Of the 33 women included, mean age was 59.8 ± 11.3 years. Median preoperative point C was -6.0 (interquartile range [IQR]: -6.75, -5.0) and point Ba was +2.0 (IQR: +0.5, +3.0). Point C was higher postoperatively in 21 (64%) of 33 women. Overall, point C was 1 cm higher post- versus preoperatively (-7.0 [IQR: -8.0, -6.0] vs -6.0 [IQR: -6.75, -5.0], P < 0.001) and point Ba was 4 cm higher (-2 [IQR: -3.0, -2.0] vs 2.0 [IQR: 0.5, 3.0], P < 0.001). Compared with women with lower/unchanged postoperative point C, those with higher point C were older (53.9 ± 12.3 vs 63.1 ± 9.4, P = 0.02) with lower parity (3.0 [IQR: 2.0, 3.0] vs 2.0 [IQR: 2.0, 3.0], P = 0.028).

CONCLUSIONS:

The test of our hypothesis shows that in certain women with cystocele, anterior repair alone may be associated with higher cervix location 6 weeks postoperatively.

PMID:
28657996
PMCID:
PMC5735002
[Available on 2019-01-01]
DOI:
10.1097/SPV.0000000000000438
[Indexed for MEDLINE]

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