SUFU WM 2015 - Pelvic organ prolapse/reconstruction moderated poster session - Session Highlights

SCOTTSDALE, AZ USA (UroToday.com) - Drs. Kathleen Kobashi and Sarah McAchran moderated a poster session for “Pelvic Organ Prolapse/Reconstruction.” Notable abstracts were:

sufu wm 2015 pop1“The Impact of Comorbid Chronic Pain Syndromes on Sexual Activity and Dyspareunia After Pelvic Organ Prolapse Repair” (Presented by Priyanka Gupta, MD).
The authors identified 58 patients with a chronic pain syndrome (CPS) (interstitial cystitis, irritable bowel syndrome, migraines, fibromyalgia, and arthritis) who underwent pelvic organ prolapse (POP) repair at their institution. Sixteen (27.6%) underwent an abdominal repair and 42 (72%) underwent a transvaginal repair. Of the patients undergoing a vaginal repair, 64% had mesh placed as part of their POP repair. They compared the group with CPS to a cohort undergoing POP repair without a history of a CPS. They concluded that CPS patients were more likely to have dyspareunia after POP repair, whereas patients without a CPS reported an improvement based upon validated patient questionnaires. The use of transvaginal mesh did not appear to affect the rate of dyspareunia or rates of sexual activity.

sufu wm 2015 pop2“Detailed Cost Analysis of Robotic Sacrocolpopexy Compared to Transvaginal Mesh Repair” (Presented by Michael Ehlert, MD).
This group reviewed the cost related to performing a robotic abdominal sacrocolpopexy (n=120) versus transvaginal repair (n=106) of pelvic organ prolapse. Mesh was utilized in both repairs. The cases were further broken down in the groups that had a concomitant hysterectomy and those that did not. They noted that operative time was the greatest factor in determining cost. Transvaginal mesh POP repair was noted to have shorter operative times and lower cost, despite the higher cost of the mesh kit that was utilized. Interestingly, the higher cost of the robotic cases does not include the cost of robot acquisition and maintenance as their institution’s finance department does not consider them a cost uniquely related to the procedure.

Moderated by Kathleen C. Kobashi, MD, FACS and Sarah E. McAchran, MD at the Society of Urodynamics, Female Pelvic Medicine and Urogenital Reconstruction (SUFU) Winter Meeting - February 24 - 28, 2015 - JW Marriott Camelback Inn Resort & Spa - Scottsdale, AZ USA

 

sufu freilich squareReported for UroToday by Drew Freilich, MD. Dr. Freilich is a graduate of the University of Massachusetts Medical School and completed his urology residency at New York Medical College/Westchester Medical Center. He is currently a fellow in Female Urology, Neurourology and Reconstructive Urology at Medical University of South Carolina. He has authored more than 40 peer-reviewed articles, monographs, abstracts, and book chapters and abstracts. Dr. Freilich is a member of the American Urological Association and the Society for Urodynamics and Female Urology.