Abstract
Introduction
and hypothesis.
We evaluated different bladder parameters using Transperineal Ultrasound (TPUS) in patients with apical pelvic organ prolapse undergoing lateral suspension or sacropexy.
Methods
We included 73 cases with 37 cases in lateral suspension (LS) group and 36 cases in sacropexy group. We enrolled cases with apical prolapse stage 2 or higher according to Pelvic Organ Prolapse Quantification system (POP-Q). Evaluation done of all cases using TPUS preoperatively and at 6, 12 and 18 months follow-up visits.
Results
In LS group we found significant differences postoperatively in bladder neck height (Dy distance) at Valsalva and rest (P value < 0.001 in both) and in β angle at Valsalva and rest (P value < 0.001 in both). There was significant improvement in PVR (P value < 0.001). In sacropexy group we found no significant differences postoperatively in bladder neck height at Valsalva (P value 0.07) or in β angle at Valsalva (P value 0.097). There was significant improvement in PVR (P value 0.006). In between the 2 groups, there was better improvement in LS group than sacropexy group in bladder neck height at rest (P value 0.001) and in β angle both at Valsalva and rest (P value < 0.001 & 0.002 respectively). There was no significant difference in PVR, bladder wall thickness or bladder neck funnelling.
Conclusion
LS and sacropexy showed good postoperative improvement in some bladder parameters using TPUS with better improvement in bladder neck height in LS.
Clinical Trial Registration
Clinical trial ID: NCT03772691.
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All procedures performed in studies involving human participants were consistent with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its comparable ethical standards. Ethics approval: approved by the Ethical Review Committee of Faculty of Medicine Asyut University with IRB number 17200283.
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Ezzat Sayed is a Professor, Abubakr Mitwally is a Professor, Ahmed Abdelmagied is a Professor, Ahmed Fetih is a Professor, Mohamed Fekry is a Master degree Urogynaecology, Assistant Lecturer.
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Sayed, E., Mitwally, A., Abdelmagied, A. et al. Transperineal Ultrasound Evaluation of Bladder Parameters in Patients with Apical Prolapse Undergoing Lateral Suspension or Sacropexy. J Obstet Gynecol India 74, 170–175 (2024). https://doi.org/10.1007/s13224-023-01912-2
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DOI: https://doi.org/10.1007/s13224-023-01912-2