caa a22 4500 445307773 CHVBK 20180317142618.0 cr unu---uuuuu 170323e20110401xx s 000 0 eng 10.1007/s00404-010-1418-0 doi (NATIONALLICENCE)springer-10.1007/s00404-010-1418-0 Possible cause of failure after McCall culdoplasty [Elektronische Daten] [Cetin Cam, Ates Karateke, Mehmet Asoglu, Selcuk Selcuk, Ahmed Namazov, Turan Aran, Cem Celik, Niyazi Tug] Objective: To evaluate prospectively the rate of postoperative failure of McCall culdoplasty and the presence of a history of vaginal delivery of macrosomic infants as risk factors in patients with stage III or symptomatic stage II apical prolapse without any other pelvic floor defects. Materials and methods: Patients with pelvic organ prolapse who underwent vaginal hysterectomy and McCall culdoplasty procedures were staged according to the POP-Q system before and after the operation (n=70). POP-Q stages, age, gravidity, parity, body mass index (BMI), and the presence of diabetes mellitus in patients with or without history of vaginal delivery of macrosomic infants were analyzed. A birth weight of ≥4,000g was accepted as macrosomia. Operative failure was defined as a postoperative POP-Q stage≥stage III of the apical segment. Follow-up period was 26.5±6.37months. Results: Twenty-seven women had a history of macrosomic delivery and the remaining 43 did not. Postoperative failure was observed in 15 patients (44.4%) in the macrosomia group and in 3 patients (6.9%) in the control group. Postoperative failure was seen more frequently in the macrosomia group (Pearson's chi-square test, P=0.000). No significant difference was found between the groups regarding age, gravidity, parity, BMI and the presence of diabetes mellitus. Conclusion: Failure of McCall culdoplasty occurs more frequently in patients with history of vaginal delivery of macrosomic infants, possibly due to direct pelvic floor damage. This technique should not be used in patients with a possible history of direct pelvic floor damage. Springer-Verlag, 2010 McCall culdoplasty nationallicence Macrosomia nationallicence Pelvic floor nationallicence Cam Cetin Department of Obstetrics and Gynecology, Zeynep Kamil Hospital, No: 1, Selimiye, Uskudar, 34668, Istanbul, Turkey aut Karateke Ates Department of Obstetrics and Gynecology, Zeynep Kamil Hospital, No: 1, Selimiye, Uskudar, 34668, Istanbul, Turkey aut Asoglu Mehmet Department of Obstetrics and Gynecology, Zeynep Kamil Hospital, No: 1, Selimiye, Uskudar, 34668, Istanbul, Turkey aut Selcuk Selcuk Department of Obstetrics and Gynecology, Zeynep Kamil Hospital, No: 1, Selimiye, Uskudar, 34668, Istanbul, Turkey aut Namazov Ahmed Department of Obstetrics and Gynecology, Zeynep Kamil Hospital, No: 1, Selimiye, Uskudar, 34668, Istanbul, Turkey aut Aran Turan Department of Obstetrics and Gynecology, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey aut Celik Cem Department of Obstetrics and Gynecology, Osmancik Hospital, Corum, Turkey aut Tug Niyazi Department of Obstetrics and Gynecology, Zeynep Kamil Hospital, No: 1, Selimiye, Uskudar, 34668, Istanbul, Turkey aut Archives of Gynecology and Obstetrics Springer-Verlag 283/4(2011-04-01), 791-794 0932-0067 283:4<791 2011 283 404 https://doi.org/10.1007/s00404-010-1418-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1418-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Cam Cetin Department of Obstetrics and Gynecology, Zeynep Kamil Hospital, No: 1, Selimiye, Uskudar, 34668, Istanbul, Turkey aut NATIONALLICENCE 700 1- Karateke Ates Department of Obstetrics and Gynecology, Zeynep Kamil Hospital, No: 1, Selimiye, Uskudar, 34668, Istanbul, Turkey aut NATIONALLICENCE 700 1- Asoglu Mehmet Department of Obstetrics and Gynecology, Zeynep Kamil Hospital, No: 1, Selimiye, Uskudar, 34668, Istanbul, Turkey aut NATIONALLICENCE 700 1- Selcuk Selcuk Department of Obstetrics and Gynecology, Zeynep Kamil Hospital, No: 1, Selimiye, Uskudar, 34668, Istanbul, Turkey aut NATIONALLICENCE 700 1- Namazov Ahmed Department of Obstetrics and Gynecology, Zeynep Kamil Hospital, No: 1, Selimiye, Uskudar, 34668, Istanbul, Turkey aut NATIONALLICENCE 700 1- Aran Turan Department of Obstetrics and Gynecology, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey aut NATIONALLICENCE 700 1- Celik Cem Department of Obstetrics and Gynecology, Osmancik Hospital, Corum, Turkey aut NATIONALLICENCE 700 1- Tug Niyazi Department of Obstetrics and Gynecology, Zeynep Kamil Hospital, No: 1, Selimiye, Uskudar, 34668, Istanbul, Turkey aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 283/4(2011-04-01), 791-794 0932-0067 283:4<791 2011 283 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer