Application of transvaginal sacrospinous colpopexy in the treatment of pelvic organs prolapse

Argirović, Rajka; Likić-Ladević, Ivana; Vrzić-Petronijević, Svetlana; Petronijević, Miloš; Lađević, Nebojša

doi:10.2298/vsp0509637a

Cited by 4 publications

(1 citation statement)

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“…Hereafter an additional anterior and/or posterior colporrhaphy or incontinence surgery can be performed. The procedure is acceptable with few complications [22]. Sacrospinous Fixation can be done using Miya hook or Capio (Figure 3).…”

Section: Sacrospinous Colpopexymentioning

confidence: 99%

Recurrent Pelvic Organ Prolapse

Sharma¹,

Chakrabarti²

2018

Pelvic Floor Disorders

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The treatment of recurrent pelvic organ prolapse is challenging. The pelvic floor symptom needs to be treated, a high quality of life has to be ensured and complications have to be minimized. There is a wide range of surgical options that may be used. The surgeon should be able to discuss and offer native tissue procedures for prolapse. In addition, for the clinically challenging situations of recurrent prolapse, mesh augmented procedures may need to be discussed with the patient. A thorough knowledge of mesh and graft options, as well as knowledge of prolapse recurrence and adverse events rate, can help guide clinicians in counseling their patients effectively. Ultimately, this will allow surgeons to choose a personalized treatment option that best align with a woman's lifestyle and treatment goals. In this chapter the anatomical concepts of supports of vagina are elaborated. The pelvic diaphragm, lateral attachment of vagina to arcus tendineus fascia pelvis, intrinsic and extrinsic sphincter control mechanisms are elaborated. The surgical techniques of suspending the vaginal vault with autologous tissue and synthetic mesh are discussed. Finally, the role of minimally invasive surgery of pelvic floor is discussed as an integral part of management of recurrent vaginal prolapse.

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Section: Sacrospinous Colpopexymentioning

confidence: 99%