Outcomes of transvaginal uterosacral ligament suspension: systematic review and metaanalysis
Received 19 May 2009; received in revised form 6 July 2009; accepted 20 July 2009.
This systematic review of uterosacral ligament suspension provides a metaanalysis of anatomic outcomes and a summary of subjective outcomes. A successful anatomic outcome was considered present when women had “optimal” or “satisfactory” (pelvic organ prolapse quantification system stage 0 or 1) outcomes. In the anterior, apical, and posterior compartments, the pooled rates for a successful outcome were 81.2% (95% confidence interval [CI], 67.5–94.5%), 98.3% (95% CI, 95.7–100%), and 87.4% (95% CI, 67.5–94.5%). In the anterior compartment, women with preoperative stage 2 prolapse were more likely than those with preoperative stage 3 prolapse to have a successful anatomic outcome (92.4% vs 66.8%; P = .06). Outcomes, with respect to subjective symptoms, were reassuring; however, it was not possible to pool data because of methodologic differences between studies.
aPelvic Floor Research Group, University of Michigan, Ann Arbor, MI
bDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI
cDepartment of Internal Medicine, University of Michigan, Ann Arbor, MI
Authorship and contribution to the article is limited to the 3 authors indicated. There was no outside funding or technical assistance with the production of this article.
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