Anatomical and Functional Outcomes of Posterior Intravaginal Slingplasty for the Treatment of Vaginal Vault or Uterine Prolapse: A Prospective, Multicenter Study

Abstract

PurposeWe aimed to evaluate the anatomical and functional outcomes of posterior intravaginal slingplasty (P-IVS) for the treatment of a vaginal vault or uterine prolapse (VP/UP).Materials and MethodsThis was a 12-month prospective, multicenter, observational study. Women aged over 30 years who presented with stage II or greater VP/UP underwent P-IVS by four urologists at four university hospitals. Preoperatively, pelvic examination by use of the Pelvic Organ Prolapse Quantification (POP-Q) system, the Pelvic Floor Distress Inventory (PFDI) questionnaire, the 3-day frequency volume chart, and uroflowmetry were completed. At the 12-month follow-up, changes in the POP-Q, PFDI, frequency volume chart, and uroflowmetry parameters were assessed. Cure was defined as VP/UP stage 0 and improvement as stage I.ResultsThe cure and improvement rates among the 32 women were 65.6% and 34.4%, respectively. All subscale scores of the Urinary Distress Inventory, the general subscale score of the Pelvic Organ Prolapse Distress Inventory, and the rectal prolapse subscale score of the Colo-Rectal-Anal Distress Inventory were significantly improved. There were no significant changes in the frequency volume chart or uroflowmetry parameters. There was one case of surgery-related transfusion.ConclusionsTrans-vaginal repair by P-IVS is an effective and safe procedure for restoring the anatomical defect and improving the associated pelvic floor symptoms in women with VP/UP.

Treatment of Vaginal Cuff Prolapses with Posterior Intravaginal Sling and Evaluation of Efficiency with International Consultation on Incontinence Questionnaire—Vaginal Symptoms Method in the Long Term: Preliminary Results

“…In recent decades, vaginal prolapse has been treated by several different transvaginal or transabdominal procedures, such as sacrospinous colpopexy or abdominal sacral colpopexy. However, the associated high morbidity and recurrence rates have necessitated trials of more effective therapeutic methods and minimally invasive and less morbid surgical techniques …”

“…However, the associated high morbidity and recurrence rates have necessitated trials of more effective therapeutic methods and minimally invasive and less morbid surgical techniques. 5 The posterior intravaginal sling procedure (PIVS) is a minimally invasive surgical technique developed by Petros in 1997 to treat vaginal wall defects. 6 We studied the efficiency of the method in patients who had undergone PIVS, complications during the observation period and changes in vaginal, sexual and life quality in the preoperative and postoperative periods using the International Consultation on Incontinence Questionnaire-Vaginal Symptoms (ICIQ-VS) scale.…”