000			03756nam a22005897a 4500
008			170411s20162016 xxu||||| |||| 00| 0 eng d
022			_a2151-8378
040			_aOvid MEDLINE(R)
099			_a26829342
245			_aDoes Pelvic Organ Prolapse Quantification Examination D Point Predict Uterosacral Ligament Suspension Outcomes?.
251			_aFemale Pelvic Medicine & Reconstructive Surgery. 22(3):146-50, 2016 May-Jun
252			_aFemale pelvic med. reconstr. surg.. 22(3):146-50, 2016 May-Jun
253			_aFemale pelvic medicine & reconstructive surgery
260			_c2016
260			_fFY2016
266			_d2017-05-24
520			_aCONCLUSIONS: The preoperative D point correlates with postoperative apical support, and a clinically meaningful relationship exists between the preoperative D point and anatomic apical success.
520			_aMETHODS: This retrospective cohort study included subjects undergoing transvaginal uterosacral ligament suspension from 2008 through 2013 who had at least 1 year follow-up. Demographic information, preoperative and postoperative Pelvic Organ Prolapse Quantification (POPQ) examination measurements, need for retreatment or repeat surgery, and assessment of pelvic floor symptoms were reviewed. Postoperative apical success was defined as C point descent no more than one third into the vaginal canal.
520			_aOBJECTIVES: The best predictors for postoperative anatomic apical success after transvaginal uterosacral ligament suspension remain unknown. The aim of this study was to determine if there is a correlation between the preoperative D point and anatomic outcomes for apical prolapse after 1 year.
520			_aRESULTS: One hundred twenty-five women met inclusion criteria and had follow-up at 1 year or more. Concomitant procedures included anterior/posterior repair and midurethral sling. Mean follow-up time was 22.8 months (range, 12-63 months). At last follow-up, 96% met criteria for apical success. A more negative preoperative D point was significantly related to improved postoperative apical support, with each 1-cm descent in preoperative D point resulting in a postoperative C point that was 0.21 cm lower (P = 0.0005). Based on the receiver operating characteristic curve, a "cutoff" D point value of -4.25 (sensitivity, 0.8; specificity, 0.65) was determined to be a predictor of postoperative apical success at 1 year or more.
546			_aEnglish
650			_a*Hysterectomy, Vaginal/mt [Methods]
650			_a*Ligaments/su [Surgery]
650			_a*Pelvic Organ Prolapse/su [Surgery]
650			_a*Preoperative Care/mt [Methods]
650			_aAged
650			_aFemale
650			_aFollow-Up Studies
650			_aHumans
650			_aHysterectomy, Vaginal/ae [Adverse Effects]
650			_aMiddle Aged
650			_aPelvic Organ Prolapse/cl [Classification]
650			_aPelvic Organ Prolapse/pp [Physiopathology]
650			_aPostoperative Period
650			_aRetrospective Studies
650			_aROC Curve
650			_aSuburethral Slings
650			_aSurgical Mesh
650			_aTreatment Failure
651			_aMedStar Heart & Vascular Institute
651			_aMedStar Washington Hospital Center
656			_aObstetrics and Gynecology/Female Pelvic Medicine and Reconstructive Surgery
656			_aObstetrics and Gynecology/Urogynecology
657			_aJournal Article
700			_aDesale, Sameer
700			_aIglesia, Cheryl B
700			_aPark, Amy J
700			_aRichter, Lee
790			_aBoileau JE, Desale S, Iglesia CB, Janni M, Park AJ, Richter LA
856			_uhttps://dx.doi.org/10.1097/SPV.0000000000000245 _zhttps://dx.doi.org/10.1097/SPV.0000000000000245
942			_cART _dArticle
999			_c2890 _d2890