Outcomes of colpectomy for uterovaginal and posthysterectomy vault prolapse: A comparative study between normal and overweight women

  • Pattaya Hengrasmee | phengras@yahoo.com Urogynecology Unit, Department of Obstetrics and Gynecology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand. http://orcid.org/0000-0002-4820-960X
  • Parit Wachasiddhisilpa Urogynecology Unit, Department of Obstetrics and Gynecology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
  • Chutimon Asumpinwong Urogynecology Unit, Department of Obstetrics and Gynecology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
  • Pichai Leerasiri Urogynecology Unit, Department of Obstetrics and Gynecology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Abstract

The objective of the study is to compare success and perioperative outcomes of colpectomy for severe prolapse between normal and overweight patients. This is a retrospective cohort study of 95 non-sexually active women undergoing colpectomy for severe prolapse between July 2010 and December 2015. Vaginal hysterectomy was performed for those with uterovaginal prolapse. Prolapse stage and location were identified according to Pelvic Organ Prolapse Quantification (POP-Q) measurements. Demographic data and perioperative outcomes were recorded. Patients were categorized into normal-weight and overweight groups according to World Health Organization body mass index classification for adults. During postoperative visit, prolapse symptoms and POP-Q measurements were re-evaluated. Objective cure was defined as prolapse at or above hymen, while subjective cure determined as resolution of prolapse sensation. One-third was determined as overweight. Objective cure was 81.1%, whereas subjective cure was 95.8%. Overweight patients significantly demonstrated poorer perioperative outcomes including increased blood loss, more advanced stage prolapse, and lower success rates. In conclusion, colpectomy is an effective repair procedure for non-sexually active women with severe prolapse due to low perioperative morbidities and favorable surgical outcomes. However, special precaution is required when performing this procedure in overweight women.

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Published
2019-04-02
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Keywords:
Pelvic organ prolapse, Colpectomy, Overweight women, Success rates, Perioperative outcomes
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How to Cite
Hengrasmee, P., Wachasiddhisilpa, P., Asumpinwong, C., & Leerasiri, P. (2019). Outcomes of colpectomy for uterovaginal and posthysterectomy vault prolapse: A comparative study between normal and overweight women. Urogynaecologia, 31(1). https://doi.org/10.4081/uij.2019.213