09 Sacrocolpopexy with autologous rectus fascia: Three-year outcomes

To evaluate objective and subjective outcomes of patients who underwent sacrocolpopexy with autologous rectus fascia. Our cohort study included women abdominal using fascia between June 2014 December 2019 at a single academic medical center. Patients were recruited for follow up visit including completing the Pelvic Floor Distress Inventory (PFDI) Organ Prolapse Quantification (POPQ) exam. Demographic clinical characteristics also collected. A total 73 during period. Mean time was 2.3 years, ranging from less than year to 6.2 years. age 59.1 years (SD = 9.0) 80.6% postmenopausal. body mass index 25.2 kg/m2 3.5 kg/m2). This initial prolapse repair most (71.2%) patients. At procedure, 54.8% hysterectomy, 16.4% had supracervical 63.0% concomitant Burch colposuspension, 56.2% posterior colporrhaphy. operative 201 minutes 50.8). PFDI scores significantly improved baseline (98.9 ± 54.0) (43.1 42.7; P < 0.001). These improvements remained similar least 3 (115.5 50.8 vs. 48.4 48.9; Preoperatively, 30.1% presented stage II prolapse, III 5.5% IV prolapse. On up, 20.8% 1.4% none All POPQ measurements except vaginal length (P 0.001), these 0.05). Complications 20.6% urinary tract infections, 6.8% ileus or small bowel obstruction (1 patient requiring surgery), 2.7% pneumonia, blood transfusion. There no surgical site infections. Immediate postoperative voiding dysfunction present in 26.0% Five (6.8%) subsequent surgery stress incontinence; one additional Sacrocolpopexy is safe effective alternative synthetic mesh. results showed significant that sustained over three low rates repeat