ABOG Urogynecology And Reconstructive Pelvic Surgery Practice Questions - ABOG Urogynecology And Reconstructive Pelvic Surgery Subspecialty Certifying Examination Exam

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A 58-year-old has symptomatic stage III uterovaginal prolapse and desires definitive surgical treatment with preservation of sexual function. Which surgical procedure is gold standard for apical vaginal vault support?

Anterior colporrhaphy alone Abdominal sacrocolpopexy (mesh sling from vaginal vault to sacrum) — gold standard for apical POP repair with highest long-term anatomical success rates (~90%); can be performed open, laparoscopic, or robotic Colpocleisis Posterior colporrhaphy alone

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Abdominal sacrocolpopexy (mesh sling from vaginal vault to sacrum) — gold standard for apical POP repair with highest long-term anatomical success rates (~90%); can be performed open, laparoscopic, or robotic

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