Reanalysis of a randomized trial of 3 techniques of anterior colporrhaphy using clinically relevant definitions of success - 19/08/11
Résumé |
Objective |
The purpose of this study was to reanalyze the results of a previously published trial that compared 3 methods of anterior colporrhaphy according to the clinically relevant definitions of success.
Study Design |
A secondary analysis of a trial of 114 subjects who underwent surgery for anterior pelvic organ prolapse who were assigned randomly to standard anterior colporrhaphy, ultralateral colporrhaphy, or anterior colporrhaphy plus polyglactin 910 mesh from 1996−1999. For the current analysis, success was defined as (1) no prolapse beyond the hymen, (2) the absence of prolapse symptoms (visual analog scale ≤2), and (3) the absence of retreatment.
Results |
Eighty-eight percent of the women met our definition of success at 1 year. One subject (1%) underwent surgery for recurrence 29 months after surgery. No differences among the 3 groups were noted for any outcomes.
Conclusion |
Reanalysis of a trial of 3 methods of anterior colporrhaphy revealed considerably better success with the use of clinically relevant outcome criteria compared with strict anatomic criteria.
Le texte complet de cet article est disponible en PDF.Key words : anterior colporrhaphy, cystocele, outcome measure, pelvic organ prolapse, treatment success
Plan
| Reprints not available from the authors. |
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| Authorship and contribution to the article is limited to the 4 authors indicated. There was no outside funding or technical assistance with the production of this article. |
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| Cite this article as: Chmielewski L, Walters MD, Weber AM, et al. Reanalysis of a randomized trial of 3 techniques of anterior colporrhaphy using clinically relevant definitions of success. Am J Obstet Gynecol 2011;205:69.e1-8. |
Vol 205 - N° 1
P. 69.e1-69.e8 - juillet 2011 Retour au numéro
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