AUA 2016: Long-term outcomes of abdominal vs. vaginal apical prolapse repair among female Medicare beneficiaries - Session Highlights

San Diego, CA USA ( Aqsa Khan from Phoenix, Arizona presented data from a 5% Medicare sample that evaluated complication rates and long term outcomes for isolated apical prolapse repair. The authors included 2,172 patients undergoing apical prolapse repair in 1999, and categorized them by surgical approach. Complications were evaluated at 3 months and outcomes were evaluated at 10 years. 

They report a significantly lower complication rate in abdominal apical repairs at 3 months, including surgical complications, dyspareunia, and urinary retention as well as nonsurgical complications. Abdominal apical repairs also showed lower rates of the need for repeat prolapse management.

The moderator Christopher Winters commented on the series being based on operations done in 1999, with apical repairs likely being open abdominal rather than current minimally invasive techniques, and that further study of newer techniques could be similarly undertaken.

Written by: Lindsey Cassini Cox M.D. Clinical Assistant Professor, Female Pelvic Medicine & Reconstructive Surgery, MUSC Health, Medical University of South Carolina