A randomized controlled trial of permanent vs absorbable suture for uterosacral ligament suspension.

ABSTRACT:

Introduction and hypothesis

Uterosacral ligament suspension (USLS) is a common procedure for apical pelvic organ prolapse. The procedure has been described using only permanent suture, only absorbable suture and a combination of permanent and absorbable suture. We hypothesized that the use of absorbable suture is not inferior to the use of permanent suture.

Methods

All women undergoing USLS between October 2016 and November 2017 were approached. Subjects were randomized to permanent or absorbable suture. The primary outcome was POP-Q point C 12 months after surgery (non-inferiority limit = 2 cm). A composite outcome of success at 12 months was defined as no apical prolapse ≥ 1/2 TVL, no prolapse beyond the hymen, no prolapse retreatment and no bulge symptoms.

Results

SUBMITTER: Kowalski JT 

PROVIDER: S-EPMC7771887 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature