Sacrospinous fixation versus abdominal sacral colpopexy for posthysterectomy vaginal vault prolapse

Academic Article

Abstract

  • To compare the cost-effectiveness of sacrospinous fixation (SSF) and abdominal sacral colpopexy (ASC) for posthysterectomy vaginal vault prolapse. Cost and effectiveness data for SSF and ASC were accessed from peer-reviewed literature and standard references for charges. Objective assessment of surgical cures at 36-48 postoperative months was used. Taking the perspective of a healthcare planner, the incremental cost-effectiveness ratios were calculated for both procedures. ASC is a more expensive yet more effective procedure than SSF. Compared with no intervention, SSF costs $9290 per cure. The cost per cure of ASC is $2910, compared with SSF. Under conditions of constrained monetary resources, SSF is a more cost-effective procedure than ASC. However, the decision to proceed abdominally or vaginally is more often dictated by the clinical situation and the need for ancillary repairs. © 1999 Lippincott Williams & Wilkins, Inc.
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    Start Page

  • 320
  • End Page

  • 324
  • Volume

  • 5
  • Issue

  • 6