1268 to the posterior vagina down to the rectal reflection (this distance varied depending on the subject’s vaginal length) and to the anterior vagina for a distance of 3–4 cm using two rows of cv-2 Gore-Tex® sutures. Concomitant hyster- ectomies were performed in women with a uterus, and concomitant continence surgeries were done according to patients’ symptoms and urodynamic findings. Surgeries were done by residents and fellows under the direct supervision of two attending urogynecologic surgeons. Women with concomitant compartment specific repairs, i.e., posterior or anterior vaginal wall surgeries, were excluded. All women underwent objective POP assessment in the supine and standing strain positions using the POP quantified (POPQ) system at baseline and 1 year after surgery. Points tvl, pb, and genital hiatus (gh) were measured with the patients’ supine, while the remaining POPQ points were measured with patients standing at maximal strain. Baseline and 1-year POP-Q assessments were done by fellows or attending urogynecologists. Women were included in the final analysis if complete baseline and 1-year POP-Q data were recorded. Objective cure was defined as stage 0 or I POP in all vaginal compartments 1 year after surgery; if any vaginal compart- ment was greater than or equal to stage II, the surgery was considered an objective failure. We abstracted demographic characteristics, body mass index, surgical history, obstetric history, urogynecologic findings, smoking history, intra- operative, and postoperative complications from the charts. Statistical Package for the Social Sciences (Version 13) was used for data management and analysis. Wilcoxon Signed Ranks Test was used to compare baseline and postoperative POPQ points. Mann–Whitney test was used to compare POPQ points between independent groups. All tests were considered significant at the.05 level and no one- sided tests were used. Two hundred women underwent SC during the study period. One hundred forty-nine women had baseline and 1-year POPQ data and were included in the final analysis. Four had concomitant anterior or posterior repair and were excluded. Tables 1 and 2 list the demographic character- Table 1 Demographic history Results Age BMI Parity Mean + SD 56+15 27+7 Median (range) 3 (0–10) Ba (cm) C (cm) Ap (cm) Bp (cm) Gh (cm) Int Urogynecol J (2008) 19:1267–1270 Table 2 Demographic and surgical histories Prior surgery Prolapse Incontinence Hysterectomy (Can include prolapse and/or incontinence) Race (%) Caucasian Hispanic African–American (Number (%)) 72 (54) 34 (25) 131 (89) (88) (9) (3) istics and surgical histories of this cohort. At baseline, 35 women (24%) had stage IV POP, 102 (69%) stage III, and 12 (8%) stage II. Half of women (54%) had a concomitant continence procedure at the time of SC; 40% had a Burch colposuspension and 14% had a fascial sling. Twelve percent of women had a concomitant abdominal hysterectomy. One year after surgery, 112 women (75%) were objectively cured (stage 0 or I POP), and 37 (25%) were considered objective failures. All but two women who met criteria for objective failure had stage II POP; the remaining two women had stage III POP. The most common site of failure was the anterior compartment (Ba ≥ stage II in 23 women), followed by posterior compartment (Bp ≥ stage II in 12 women), and the apex (C ≥ stage II in 2 women). One woman with stage III prolapse had a reoperation in the first year consisting of an anterior and posterior colporrhaphy. Table 3 shows baseline and 1-year postoperative meas- urements for the position of the apex (point C), the most prolapse point on the anterior (Ba) and posterior (Bp) vaginal walls, and the gh. The position of the apex, most prolapsed points on the anterior (Ba) and posterior (Bp) vagina, and gh were all significantly improved after SC without posterior repair or perineorrhaphy. There was no significant change in the total vaginal length or perineal body size (.243 and .395, respectively). While postopera- tive POPQ points Ba and Bp were significantly more Table 3 Baseline and postoperative POPQ points Baseline (mean ± SD) 3.5±2.7 1±5 −0.3±2.5 1±3.6 4±2 1-year Postoperative (mean ± SD) −2±1 −9±2 −2±1 −2±1 3±1 P value <.0005 <.0005 <.0005 <.0005 .001