Outcomes of vaginal reconstructive surgery with and without graft material.

Objective: This study was undertaken to evaluate the outcomes of vaginal surgery for pelvic organ prolapse, comparing cases implementing graft augmentation to those without graft augmentation.

Study Design: This was a retrospective cohort study of 312 patients who underwent vaginal surgery for prolapse from February 1998 to January 2004.

Results: Of the 312 patients, 98 (31.

Levator contraction strength and genital hiatus as risk factors for recurrent pelvic organ prolapse.

Objective: To correlate levator ani contraction strength and genital hiatus measurements with surgical failure in prolapse.

Study Design: This retrospective study involved chart review for documentation of levator contraction strength, genital hiatus measurement, and recurrent pelvic floor disorders in women who underwent surgery for prolapse.

Results: The recurrent prolapse rate was 34.