42nd Annual Meeting – Vancouver, Canada, June 20 – 24, 2017

42nd Annual Meeting – Vancouver, Canada, June 20 – 24, 2017 Int Urogynecol J (2017) 28 (Suppl 1):S1–S282 DOI 10.1007/s00192-017-3337-0 Published online: 28 November 2017 The International Urogynecological Association 2017 001 sling with randomization to ULS (n=147) or SSLF (n=138); FIVE-YEAR OUTCOMES OF UTEROSACRAL the behavioral intervention was randomization to periopera- LIGAMENT SUSPENSION OR SACROSPINOUS tive behavioral therapy with pelvic floor muscle training LIGAMENT FIXATION FOR APICAL PELVIC (PBMT) (n=141) or usual care (n=144). The primary surgical ORGAN PROLAPSE: A RANDOMIZED TRIAL outcome was defined as time to anatomic or symptomatic failure or retreatment. Consistent with the primary 1 2 3 J. E. JELOVSEK ,L.BRUBAKER , M. GANTZ ,N. OPTIMAL study, anatomic failure was defined as apical de- 3 4 5 PUGH , A.C.WEIDNER ,H.E.RICHTER ,S. scent greater than one-third of vaginal length (POPQ C > -2/ 6 7 8 MENEFEE ,P.NORTON , J. SCHAFFER ,S.MEIKLE 3TVL) or anterior or posterior vaginal wall beyond the hymen 9 10 , M. D. BARBER ; (POPQ Ba or Bp > 0) and symptomatic failure was defined as Obstetrics, Gynecology & Women's Health Institute, bothersome vaginal bulge symptoms. The primary outcome Cleveland Clinic, Cleveland, OH, ObGyn and Urology, for the behavioral intervention was anatomic failure as defined Loyola Univ. Chicago Stritch SOM, Maywood, http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png International Urogynecology Journal Springer Journals

42nd Annual Meeting – Vancouver, Canada, June 20 – 24, 2017

42nd Annual Meeting – Vancouver, Canada, June 20 – 24, 2017

Int Urogynecol J (2017) 28 (Suppl 1):S1–S282 DOI 10.1007/s00192-017-3337-0 Published online: 28 November 2017 The International Urogynecological Association 2017 001 sling with randomization to ULS (n=147) or SSLF (n=138); FIVE-YEAR OUTCOMES OF UTEROSACRAL the behavioral intervention was randomization to periopera- LIGAMENT SUSPENSION OR SACROSPINOUS tive behavioral therapy with pelvic floor muscle training LIGAMENT FIXATION FOR APICAL PELVIC (PBMT) (n=141) or usual care (n=144). The primary surgical ORGAN PROLAPSE: A RANDOMIZED TRIAL outcome was defined as time to anatomic or symptomatic failure or retreatment. Consistent with the primary 1 2 3 J. E. JELOVSEK ,L.BRUBAKER , M. GANTZ ,N. OPTIMAL study, anatomic failure was defined as apical de- 3 4 5 PUGH , A.C.WEIDNER ,H.E.RICHTER ,S. scent greater than one-third of vaginal length (POPQ C > -2/ 6 7 8 MENEFEE ,P.NORTON , J. SCHAFFER ,S.MEIKLE 3TVL) or anterior or posterior vaginal wall beyond the hymen 9 10 , M. D. BARBER ; (POPQ Ba or Bp > 0) and symptomatic failure was defined as Obstetrics, Gynecology & Women's Health Institute, bothersome vaginal bulge symptoms. The primary outcome Cleveland Clinic, Cleveland, OH, ObGyn and Urology, for the behavioral intervention was anatomic failure as defined Loyola Univ. Chicago Stritch SOM, Maywood, IL, RTI for the surgical intervention and development of POP symp- Intl., Research Triangle Park, NC, Duke Univ., Durham, toms measured by the POPDI subscale of the PFDI. NC, Univ. of Alabama at Birmingham, Birmingham, AL, Results: By year 5, the estimated probabilities of success from 6 7 Kaiser, San Diego, CA, Obstetrics and Gynecology, Univ. parametric survival modeling (Figure) for the ULS group and of Utah, Salt Lake City, UT, UT Southwestern, Dallas, TX, the SSLF group, respectively, were 0.44 and 0.33 for the pri- 9 10 NIH, Bethesda, MD, Cleveland Clinic, Cleveland, OH. mary outcome (difference of 0.10; 95%CI -0.06, 0.27), 0.57 and 0.42 for anatomic...
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Publisher
Springer London
Copyright
Copyright © 2017 by The International Urogynecological Association
Subject
Medicine & Public Health; Gynecology; Urology
ISSN
0937-3462
eISSN
1433-3023
D.O.I.
10.1007/s00192-017-3337-0
Publisher site
See Article on Publisher Site

Abstract

Int Urogynecol J (2017) 28 (Suppl 1):S1–S282 DOI 10.1007/s00192-017-3337-0 Published online: 28 November 2017 The International Urogynecological Association 2017 001 sling with randomization to ULS (n=147) or SSLF (n=138); FIVE-YEAR OUTCOMES OF UTEROSACRAL the behavioral intervention was randomization to periopera- LIGAMENT SUSPENSION OR SACROSPINOUS tive behavioral therapy with pelvic floor muscle training LIGAMENT FIXATION FOR APICAL PELVIC (PBMT) (n=141) or usual care (n=144). The primary surgical ORGAN PROLAPSE: A RANDOMIZED TRIAL outcome was defined as time to anatomic or symptomatic failure or retreatment. Consistent with the primary 1 2 3 J. E. JELOVSEK ,L.BRUBAKER , M. GANTZ ,N. OPTIMAL study, anatomic failure was defined as apical de- 3 4 5 PUGH , A.C.WEIDNER ,H.E.RICHTER ,S. scent greater than one-third of vaginal length (POPQ C > -2/ 6 7 8 MENEFEE ,P.NORTON , J. SCHAFFER ,S.MEIKLE 3TVL) or anterior or posterior vaginal wall beyond the hymen 9 10 , M. D. BARBER ; (POPQ Ba or Bp > 0) and symptomatic failure was defined as Obstetrics, Gynecology & Women's Health Institute, bothersome vaginal bulge symptoms. The primary outcome Cleveland Clinic, Cleveland, OH, ObGyn and Urology, for the behavioral intervention was anatomic failure as defined Loyola Univ. Chicago Stritch SOM, Maywood,

Journal

International Urogynecology JournalSpringer Journals

Published: Nov 28, 2017

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