Comparison of 2 transvaginal surgical approaches and perioperative behavioral therapy for apical vaginal prolapse: the OPTIMAL randomized trial.

ABSTRACT:

Importance

More than 300,000 surgeries are performed annually in the United States for pelvic organ prolapse. Sacrospinous ligament fixation (SSLF) and uterosacral ligament suspension (ULS) are commonly performed transvaginal surgeries to correct apical prolapse. Little is known about their comparative efficacy and safety, and it is unknown whether perioperative behavioral therapy with pelvic floor muscle training (BPMT) improves outcomes of prolapse surgery.

Objective

To compare outcomes between (1) SSLF and ULS and (2) perioperative BPMT and usual care in women undergoing surgery for vaginal prolapse and stress urinary incontinence.

Design, setting, and participants

Multicenter, 2 × 2 factorial, randomized trial of 374 women undergoing surgery to treat both apical v

SUBMITTER: Barber MD 

PROVIDER: S-EPMC4083455 | biostudies-literature | 2014 Mar

REPOSITORIES: biostudies-literature