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Apical Suspension at the Time of Vaginal Hysterectomy

Female Pelvic Med Reconstr Surg; ePub 2019 Feb 21; Sheyn, et al

Female pelvic reconstructive surgeon (FPMRS) physicians are more likely to perform apical suspension with vaginal hysterectomy for prolapse repair compared with obstetrician-gynecologists (OBG), a new study found. The retrospective cohort used data from the American College of Surgeons National Surgical Quality Improvement Program database from 2014 to 2016. Researchers found:

  • After propensity score matching, there were 901 cases performed by FPMRS and 1,802 performed by OBG.
  • Overall utilization rate of apical suspension in the matched cohort was 81.7% for FPMRS and 19.8% for OBG.
  • OBG were more likely to perform vaginal hysterectomy without apical suspension compared with FPMRS (44.3% vs 5.8%) and were also more likely to perform nonapical vaginal repair without performing an apical suspension, compared to urogynecologists.


Sheyn D, El-Nashar S, Mahajan ST, Mangel JM, Chapman G, Hijaz AK. Apical suspension utilization at the time of vaginal hysterectomy for pelvic organ prolapse varies with surgeon specialty. [Published online ahead of print February 21, 2019]. Female Pelvic Med Reconstr Surg. doi:10.1097/SPV.0000000000000706.