Sacrocolpopexy using autologous rectus fascia: Cohort study of long-term outcomes and complications

Rui Wang, Krista Reagan, Sarah Boyd, Paul Tulikangas

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

Objective: To evaluate objective and subjective outcomes of patients who underwent sacrocolpopexy using autologous rectus fascia to provide more data regarding non-mesh alternatives in pelvic organ prolapse surgery. Design: Ambispective cohort study with retrospective and prospective data. Setting: A single academic medical centre. Population: Women who underwent abdominal sacrocolpopexy using autologous rectus fascia between January 2010 and December 2019. Methods: Patients were recruited for a follow-up visit, including completing the Pelvic Floor Distress Inventory (PFDI-20) and Pelvic Organ Prolapse Quantification (POP-Q) examination. Demographic and clinical characteristics were collected. Main outcome measures: Composite failure, anatomic failure, symptomatic failure and retreatment. Results: During the study period, 132 women underwent sacrocolpopexy using autologous rectus fascia. The median follow-up time was 2.2 years. Survival analysis showed that composite failure was 0.8% (95% CI 0.1%–5.9%) at 12 months, 3.5% (95% CI 1.1%–10.7%) at 2 years, 13.2% (95% CI 7.0%–24.3%) at 3 years and 28.3% (95% CI 17.0%–44.8%) at 5 years. The anatomic failure rate was 0% at 12 months, 1.4% (95% CI 0.2%–9.2%) at 2 years, 3.1% (95% CI 0.8%–12.0%) at 3 years and 6.8% (95% CI 2.0%–22.0%) at 5 years. The symptomatic failure rate was 0% at 12 months, 1.3% (95% CI 0.2%–9.0%) at 2 years, 2.9% (95% CI 0.7%–11.3%) at 3 years and 13.1% (95% CI 5.3%–30.3%) at 5 years. The retreatment rate was 0.8% (95% CI 0.1%–5.9%) at 12 months and 2 years, 9.4% (95% CI 4.2%–20.3%) at 3 years and 13.0% (95% CI 6.0%–27.2%) at 5 years. Conclusion: Autologous rectus fascia sacrocolpopexy may be considered a safe and effective alternative for patients who wish to avoid synthetic mesh. Tweetable abstract: Sacrocolpopexy using autologous rectus fascia is a safe and effective alternative to synthetic mesh.

Original languageEnglish (US)
Pages (from-to)1600-1606
Number of pages7
JournalBJOG: An International Journal of Obstetrics and Gynaecology
Volume129
Issue number9
DOIs
StatePublished - Aug 2022

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynecology

Fingerprint

Dive into the research topics of 'Sacrocolpopexy using autologous rectus fascia: Cohort study of long-term outcomes and complications'. Together they form a unique fingerprint.

Cite this