Factors Influencing Selection of Vaginal, Open Abdominal, or Robotic Surgery to Treat Apical Vaginal Vault Prolapse

Vaginal Vault Prolapse

Introduction. Vaginal vault prolapse is a common complication following vaginal hysterectomy with negative impact on women's quality of life due to associated urinary, anorectal and sexual dysfunction. A clear understanding of the supporting mechanism for the uterus and vagina is important in making the right choice of corrective procedure. Management should be individualised, taking into consi...

Abdominal sacral colpopexy or vaginal sacrospinous colpopexy for vaginal vault prolapse: a prospective randomized study

Study sample Power calculations were performed in the preliminary phase of the study. These were based on a 58% success rate for the abdominal group, a 29% success rate for the vaginal group, a significance level of 5% and a statistical power of 80%. This led to a sample size of 40 women in each group, which was increased to 95 to minimise the impact of loss to follow-up (expected to be around ...

Abdominal sacral colpopexy or vaginal sacrospinous colpopexy for vaginal vault prolapse: a prospective randomized study

Study sample Power calculations were performed in the preliminary phase of the study. These were based on a 58% success rate for the abdominal group, a 29% success rate for the vaginal group, a significance level of 5% and a statistical power of 80%. This led to a sample size of 40 women in each group, which was increased to 95 to minimise the impact of loss to follow-up (expected to be around ...

Abdominal sacral colpopexy or vaginal sacrospinous colpopexy for vaginal vault prolapse: a prospective randomized study.

OBJECTIVE The purpose of this study was to compare the abdominal sacral colpopexy and vaginal sacrospinous colpopexy in the treatment of vaginal vault prolapse. STUDY DESIGN Ninety-five women with vaginal vault prolapse were allocated randomly to sacral colpopexy (47 women) or sacrospinous colpopexy (48 women). Primary outcome measurements include subjective, objective, and patient-determined...

Uterine and Vaginal Vault Prolapse