ArticleObstetrics and gynecology2013
Long-term patient satisfaction with michigan four-wall sacrospinous ligament suspension for prolapse.
Article in Obstetrics and gynecology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Efficacy of Sacrospinous Fixation or Uterosacral Ligament Suspension for Pelvic Organ Prolapse in Stages III and IV: Randomized Clinical Trial.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2023Trial
- Quality of Life and Sexual Function 2 Years After Vaginal Surgery for Prolapse.Obstetrics and gynecology · 2016Trial
- From Mesh to Modern Therapies: An Updated Narrative Review on Urogenital Prolapse.Journal of clinical medicine · 2025Review
- Analysis of long-term structural failure after native tissue prolapse surgery: a 3D stress MRI-based study.International urogynecology journal · 2022Article
- Preoperative level II/III MRI measures predicting long-term prolapse recurrence after native tissue repair.International urogynecology journal · 2022Article
- A new 3D stress MRI measurement strategy to quantify surgical correction of prolapse in three support systems.Neurourology and urodynamics · 2021Article
- The clinical and urodynamic outcomes of single-incision mesh surgery using the Uphold system for the treatment of pelvic organ prolapse.Scientific reports · 2020Article
- Addressing apical support during hysterectomy for prolapse: a NSQIP review.International urogynecology journal · 2020Article
- Joint report on terminology for surgical procedures to treat pelvic organ prolapse.International urogynecology journal · 2020Article
- The underutilization of obliterative and constrictive surgery in the surgical treatment of pelvic organ prolapse.International urogynecology journal · 2019Article
- Life after pelvic organ prolapse surgery: a qualitative study in Amhara region, Ethiopia.BMC women's health · 2018Article
- Surgical Updates in the Treatment of Pelvic Organ Prolapse.Rambam Maimonides medical journal · 2017Review
- Native tissue repair for central compartment prolapse: a narrative review.International urogynecology journal · 2017Review
- Impact of Sacrospinous Colpopexy Associated with Anterior Colporrhaphy for the Treatment of Dome Prolapse on all Three Vaginal Compartments.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2016Article
- The length of anterior vaginal wall exposed to external pressure on maximal straining MRI: relationship to urogenital hiatus diameter, and apical and bladder location.International urogynecology journal · 2014Article
- Symptom Relief and Retreatment After Vaginal, Open, or Robotic Surgery for Apical Vaginal Prolapse.Female pelvic medicine & reconstructive surgeryArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectiveTo describe patient satisfaction after Michigan four-wall sacrospinous ligament suspension for prolapse and identify factors associated with satisfaction.
methodsFour hundred fifty-three patients were asked to rate their satisfaction with surgery and complete validated quality-of-life instruments. Postoperative support was extracted from the medical record and assessed when possible. Factors independently associated with patients who were "highly satisfied" were identified with multivariable logistic regression.
resultsSixty-two percent (242/392) reported how satisfied they were 8.0±1.7 years later. Fifty-seven percent had failed prior prolapse surgery, and 56% had a preoperative prolapse 4 cm or greater beyond the hymen. Ninety percent were satisfied; 76% were "completely" or "very" satisfied and they were considered "highly satisfied" for analysis. Fourteen percent reporting being "moderately" satisfied and they were considered among those "less satisfied." Women with lower scores on the postoperative Pelvic Floor Distress Inventory-20 were more likely to be "highly satisfied." Postoperative anatomic data were available for 67% (162/242) and vaginal support was observed at or above the hymen in 86%. Women with preoperative Baden Walker grade 3 or 4 prolapse were more likely than those with grade 2 prolapse to be "highly satisfied." Women with advanced postoperative prolapse (grade 3 or 4) were less likely and those with grade 2 support were as likely to be "highly satisfied" as those with grade 0 or 1 support.
conclusionThe Michigan four-wall sacrospinous ligament suspension is an anatomically effective approach to vault suspension with a high rate of long-term patient satisfaction. Postoperative vaginal support at the hymen does not negatively affect patient satisfaction. LEVEL OF EVIDENCE: III.
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