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  • Success rates of abdominal sacrocolpopexy decrease over time, but with improved continence rates with concomitant urethropexy

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Therapeutics
Randomised controlled trial
Success rates of abdominal sacrocolpopexy decrease over time, but with improved continence rates with concomitant urethropexy
  1. Elizabeth J Geller
  1. Division of Female Pelvic Medicine and Reconstructive Surgery, Obstetrics and Gynecology, University of North Carolina Hospital, Chapel Hill, North Carolina, USA
  1. Correspondence to : Dr Elizabeth J Geller, Division of Female Pelvic Medicine and Reconstructive Surgery, Obstetrics and Gynecology, University of North Carolina Hospital, CB 7570 Old Clinic, Chapel Hill, NC 27599-7570, USA; egeller{at}med.unc.edu

https://doi.org/10.1136/eb-2013-101461

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    Commentary on: Nygaard I, Brubaker L, Zyczynski HM, et al. Long-term outcomes following abdominal sacrocolpopexy for pelvic organ prolapse. JAMA 2013;309:2016–24.OpenUrlCrossRefPubMedWeb of Science

    Context

    The challenge of pelvic organ prolapse (POP) is to develop durable surgeries, including sacrocolpopexy. One must consider concomitant anti-incontinence procedures. This study by Nygaard and colleagues addresses the durability of sacrocolopexy, and also provides valuable data on the long-term efficacy of concurrent anti-incontinence surgery.

    Methods

    The extended colpopexy and urinary reduction efforts (eCARE) trial provides follow-up of the CARE trial.1 Women with advanced POP without baseline incontinence were randomised to receive abdominal sacrocolpopexy with or without urethropexy. The majority (215/231) were enrolled and 121 women (56%) completed a 7-year assessment. The outcomes included anatomic and symptomatic …

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    Footnotes

    • Competing interests EJG received honoraria from Intuitive Surgical, Inc for postgraduate course lectures on robotic sacrocolpopexy which is similar to the surgery being discussed in this manuscript.