The long-term outcome of laparoscopic colposuspension: a 10-year cohort study

• Published in: International Urogynecology Journal Vol. 20; no. 4; pp. 443 - 445
• Main Authors: Barr, Simon, Reid, Fiona M., North, Carolyn E., Hosker, Gordon, Smith, Anthony R. B.
• Format: Journal Article
• Language: English
• Published: London Springer-Verlag 01.04.2009; Springer Nature B.V
• Subjects: Adult; Clinical outcomes; Cohort Studies; Colposcopy - methods; Female; Follow-Up Studies; Gynecology; Health Surveys; Humans; Interviews as Topic; Laparoscopy - methods; Longitudinal Studies; Medicine; Medicine & Public Health; Middle Aged; Original Article; Retrospective Studies; Treatment Outcome; Urinary Incontinence, Stress - surgery; Urology; Long-term outcome; Stress urinary incontinence; Laparoscopic colposuspension
• ISSN: 0937-3462; 1433-3023
• DOI: 10.1007/s00192-008-0798-1

Introduction and hypothesis The aim of this study is to provide long-term outcome data, at least 10 years, following laparoscopic colposuspension. Methods The study includes a control group who underwent open colposuspension. A consecutive series of 139 women who had undergone laparoscopic colposuspension were reviewed and compared to 52 women who had an open colposuspension in the same unit. Subjects were contacted by telephone, at least 10 years post-operatively, at which time a structured interview was performed which included the short-form Bristol Female Lower Urinary Tract Symptom questionnaire. Results There was deterioration in subjective cure rates from 71% and 67% at 6 months to 52% and 36% at 10 years for the laparoscopic and open procedures, respectively. Conclusion This study provides evidence that laparoscopic colposuspension is probably as durable as open colposuspension. However, cure rates for both procedures appear to deteriorate over time, emphasising the importance of long-term follow-up.