Modified McCall culdoplasty versus Shull suspension in pelvic prolapse primary repair: a retrospective study

Federico Spelzini, Matteo Frigerio, Stefano Manodoro, Maria Lieta Interdonato, Maria Cristina Cesana, Debora Verri, Caterina Fumagalli, Martina Sicuri, Elena Nicoli, Serena Polizzi, Rodolfo Milani

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction and hypothesis: Uterosacral ligament suspension at the time of primary prolapse repair represents a well-established surgical option. Our aim was to compare the effectiveness, complications rate, and functional results of modified McCall culdoplasty and Shull suspension. Methods: Patients who underwent vaginal hysterectomy and cuff suspension for pelvic organ prolapse were retrospectively analyzed. McCall culdoplasty (group A) or Shull suspension (group B) were performed according to surgeon choice based on age and sexual activity. Perioperative data, objective, and subjective cure rate were noted. Results: A total of 339 patients (215 in group A and 124 in group B) completed follow-up. Operating time and blood loss were slightly higher in group B. The complications rate was similar in the two groups. Anatomical outcomes in terms of recurrence and reoperation rate did not show any statistically significant differences. POP-Q items analysis revealed only a different total vaginal length between groups (8 mm longer in group B). Functional outcomes were similar in the two groups as was patient satisfaction. Conclusion: Both uterosacral ligament suspension procedures were shown to be safe and effective. There were no clinically significant differences with regard to surgical data, complications, anatomical, functional, and subjective outcomes between modified McCall culdoplasty and Shull suspension.

Original languageEnglish
Pages (from-to)1-7
Number of pages7
JournalInternational Urogynecology Journal and Pelvic Floor Dysfunction
DOIs
Publication statusAccepted/In press - Apr 5 2016

Keywords

  • McCall culdoplasty
  • Pelvic organ prolapse
  • Quality of life
  • Shull suspension
  • Uterosacral ligament suspension

ASJC Scopus subject areas

  • Urology
  • Obstetrics and Gynaecology

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