AI Article Synopsis
- The review focuses on recent findings in vaginal surgery for apical prolapse, highlighting varying recurrence rates and improvements in symptoms.
- Overall recurrence rates for transvaginal repairs range from 13.7% to 70.3%, but reoperation rates are generally lower, showing that many patients remain satisfied despite anatomical failures.
- Most patients experience significant symptom relief and improved quality of life up to 2-3 years post-surgery, indicating that transvaginal repairs are both safe and effective, although subjective experiences may not align with objective anatomical results.
Article Abstract
Purpose Of Review: To review recent literature and provide up-to-date knowledge on new and important findings in vaginal approaches to apical prolapse surgery.
Recent Findings: Overall prolapse recurrence rates following transvaginal apical prolapse repair range from 13.7 to 70.3% in medium- to long-term follow-up, while reoperation rates for prolapse recurrence are lower, ranging from 1 to 35%. Subjective prolapse symptoms remain improved despite increasing anatomic failure rates over time. The majority of studies demonstrated improvement in prolapse-related symptoms and quality of life in over 80% of patients 2-3 years after transvaginal repair, with similar outcomes with and without uterine preservation. Contemporary studies continue to demonstrate the safety of transvaginal native tissue repair with most adverse events occurring within the first 2 years. Transvaginal apical prolapse repair is safe and effective. It is associated with long-term improvement in prolapse-related symptoms and quality of life despite increasing rates of prolapse recurrence over time. Subjective outcomes do not correlate with anatomic outcomes.
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| http://dx.doi.org/10.1007/s11934-022-01124-7 | DOI Listing |
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