Cost-Effectiveness of Vaginal Mesh Hysteropexy Versus Hysterectomy/USLS: SUPeR Trial
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The authors aimed to assess the cost-effectiveness of vaginal sacrospinous hysteropexy with a polypropylene graft compared to vaginal hysterectomy with bilateral uterosacral ligament suture apical suspension for treating symptomatic uterovaginal prolapse. Their analysis found no significant differences in costs or quality-adjusted life years (QALYs) between the two procedures, although hysteropexy showed a lower failure rate. Ultimately, both treatments provided similar economic value, with a modest probability of hysteropexy being cost-effective at a willingness-to-pay threshold of $150,000 per QALY.
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