查看文章

Objectives

The aim of this study was to determine the influence of general anesthesia and apical suspension on GH measurements compared with office measurements.

Study Design

This was a retrospective cohort of women who underwent minimally invasive sacrocolpopexy within an academic urogynecology practice. Genital hiatus for each patient was measured at 4 time points:(1) preoperative office examination (baseline) at rest (GH rest) and with strain (GH strain);(2) following anesthesia induction, at rest (GH induction);(3) immediately after sacrocolpopexy, at rest (GH colpopexy); and (4) 4-to 6-week postoperative visit, strain (GH postop). Enlarged baseline GH strain was defined as≥ 4 cm. Paired statistics and analysis of variance were used for comparisons.

Results

Fifty-one women were included, whose mean age was 61.3±8.2 years; the majority had stage≥ 3 prolapse (n= 39 [76.4%]). Concomitant …