{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T18:00:55Z","timestamp":1781373655569,"version":"3.54.1"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,8,20]],"date-time":"2019-08-20T00:00:00Z","timestamp":1566259200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the safety and efficacy of a standardized bilateral abdominal sacrocolpopexy using polyvinylidene fluoride mesh 1\u2010year post\u2010operatively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In a retrospective observational study of women undergoing bilateral abdominal sacrocolpo\/cervicopexy between July 2013 and October 2016 at the Norfolk and Norwich University Hospital, Norwich, <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content>, patients were assessed 1 year post\u2010operatively using the International Consultation on Incontinence Questionnaire\u2014Vaginal Symptoms (<jats:styled-content style=\"fixed-case\">ICIQ<\/jats:styled-content>\u2013<jats:styled-content style=\"fixed-case\">VS<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study involved 100 women, 93 of whom were followed up 1\u00a0year post\u2010operatively. The primary outcome was apical prolapse rate, of which there were none. Eight women had anterior and four had posterior wall prolapses; four women required vaginal repairs. Eleven women complained of urinary stress incontinence (six worsening and five de novo) and five had subsequent tension\u2010free vaginal tape procedures. One woman had urethral pain and one had mesh exposure into the vagina. Pre\u2010operatively, mean <jats:styled-content style=\"fixed-case\">ICIQ<\/jats:styled-content>\u2013<jats:styled-content style=\"fixed-case\">VS<\/jats:styled-content> score was 27.87 (standard deviation [<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>] 6.8), and at 1\u00a0year post\u2010operatively it was 5.82 (<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content> 3.8). Impact on quality of life score dropped by 83.4%, from 8.35 (<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content> 2.1) to 1.39 (<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content> 1.1).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The modified technique used in the present study retained the advantages of traditional sacrocolpopexy, but required smaller volumes of mesh. We found it to be safe and effective with excellent patient satisfaction at 1\u00a0year, and providing a promising treatment option for patients suffering from apical prolapse.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12935","type":"journal-article","created":{"date-parts":[[2019,8,2]],"date-time":"2019-08-02T11:50:21Z","timestamp":1564746621000},"page":"49-53","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Standardizing abdominal sacrocolpopexy for the treatment of apical prolapse: One year on"],"prefix":"10.1002","volume":"147","author":[{"given":"Charlotte","family":"Cassis","sequence":"first","affiliation":[{"name":"Gynaecology Department Norfolk and Norwich University Hospital  Norwich UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sambit","family":"Mukhopadhyay","sequence":"additional","affiliation":[{"name":"Gynaecology Department Norfolk and Norwich University Hospital  Norwich UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward","family":"Morris","sequence":"additional","affiliation":[{"name":"Gynaecology Department Norfolk and Norwich University Hospital  Norwich UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,8,20]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-196207000-00009"},{"key":"e_1_2_7_3_1","unstructured":"Royal College of Obstetricians and Gynaecologists.Post\u2010Hysterectomy Vaginal Vault Prolapse Greentop Guideline No. 46. 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