Complete laparoscopic treatment of genital prolapse with meshes including vaginal promontofixation and anterior repair: A series of 138 patients

Rivoire, C.; Botchorishvili, R.; Canis, Michel; Jardon, К.; Rabischong, B.; Wattiez, Arnaud; Mage, G.

doi:10.1016/j.jmig.2007.06.017

Cited by 115 publications

(61 citation statements)

References 14 publications

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“…However, the concept of restoring the pelvic organs to their anatomic position prevails and has to relieve associated symptoms of POP. Our results indicate that, The models were adjusted for age at the time of surgery compared to reports from large series on sacrocolpopexy and sacral hysteropexy, the patients in our study not only had comparable demographic characteristics and gynaecological and obstetric history, but also had acceptable perioperative outcomes [15][16][17][18][19]. At 1 year, anatomically there was a significant reduction in POP-Q points Aa, C and Ba as compared with the preoperative assessment.…”

Section: Discussionsupporting

confidence: 50%

Patient satisfaction after laparoscopic lateral suspension with mesh for pelvic organ prolapse: outcome report of a continuous series of 417 patients

et al. 2017

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Section: Discussionsupporting

confidence: 50%

Patient satisfaction after laparoscopic lateral suspension with mesh for pelvic organ prolapse: outcome report of a continuous series of 417 patients

et al. 2017

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“…This may be compared to the rates reported in the literature between 2.2% and 17.4% [18,[20][21][22][23][24][25]. Bladder wounding is the most frequent complication: 0.8-3% in our study vs. 1-7% in literature [8,9,[18][19][20][21][26][27][28][29][30][31].…”

Section: Discussionsupporting

confidence: 56%

Laparoscopic sacrocolpopexy: impact of the learning curve. Historic retrospective comparative study between two series of 93 and 169 patients

et al. 2011

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Genital prolapse is one of the most frequent reasons for gynaecologic consultations. Laparoscopic sacrocolpopexy (LSC) became the gold standard since laparoscopy was developed. We retrospectively compared two groups of patients: 82 who undergone LSC from January 1996 to December 2002 (group A) and 169 from January 2002 to December 2009 (group B), always by the same team. Suspension was reinforced with two strips of synthetic mesh. Laparoscopy was performed in 93 women of group A and 169 of group B. They all had symptomatic uterine prolapse. Conversion to laparotomy because of technical difficulties was significantly lower in the second than the first period (1 vs. 11, p<0.001). We performed less culdoplasty, levator myorrhaphy and Burch colposuspension (p<0.001) but more associated cure of urinary stress incontinence in the second period. Peri-operative complications (7.3% vs. 1.8%, p=0.006), post-operative complications (21% vs. 5%), and surgical length decreased (231 to 191 min, p<0.001). Six patients (7%) in group A had reintervention, 15 (9%) in group B. LSC is a reproducible technique. A learning curve shortens the length of intervention and operative and post-operative complications and rate of conversion to laparotomy.

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“…This percentage is much higher than other three retrospective series published [55][56][57] ( Table 3). North et al [58], in a prospective study of 22 patients undergoing LSC, reported that, at 2 years follow-up, no women reported new onset of dyspareunia after surgery; in this study, women were asked at each clinic visit whether they were sexually active and, if so, whether they had any coital difficulties including dyspareunia and hispareunia, with this information they could separate the rates of pre, post, and de novo dyspareunia.…”

Section: De Novo Dyspareunia After Abdominal Surgery For Popcontrasting

confidence: 52%

De novo dyspareunia after pelvic organ prolapse surgery

2010

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Dyspareunia is a sexual dysfunction defined as genital pain experienced before, during, or after sexual intercourse. Pain during intercourse is a difficult clinical problem and one of the commonest complaints in gynecological practice. The causes of dyspareunia may be classified as organic, emotional, and psychological. Pelvic organ prolapse (POP) has been considered a cause of dyspareunia and sexual dysfunction may be affected positively or negatively by surgical treatment of prolapse. In this paper, the authors review the de novo dyspareunia after POP surgery. They conclude that the incidence of de novo dyspareunia was higher in series with vaginal repair with synthetic mesh than in abdominal sacropexy.Keywords Pelvic organ prolapse . De novo dyspareunia . Surgery Dyspareunia and pelvic floor disordersDyspareunia is a sexual dysfunction defined as genital pain experienced before, during, or after sexual intercourse [1]. Some investigations support the consideration of dyspareunia as pain disorders that interfere with sexuality, rather than as sexual disorders characterized by pain [2].Pain during intercourse is a difficult clinical problem and one of the commonest complaints in gynecological practice.In a review of 18 high-quality studies with representative samples of women with coital sexual activity, the prevalence of dyspareunia was reported to be between 8% and 21% [3].Pelvic floor disorders (PFD) include pelvic organ prolapse (POP), urinary incontinence (UI), anal incontinence (AI), and other sensory and emptying abnormalities of the lower urinary and gastrointestinal tracts. According to the first nationwide population-based survey assessing the prevalence of the three major symptomatic PFD in US women, the prevalence of at least one pelvic floor disorder is 23.7%, with 15.7% of women (95% confidence interval [CI], 13.2-18.2%) with symptoms of UI, 9.0% of women (95% CI, 7.3-10.7%) experiencing fecal incontinence (FI), and 2.9% of women (95% CI, 2.1-3.7%) with a POP [4].Pauls et al.[5] studied all new patients with PFD referred to a urogynecology practice with the objective of evaluating sexual function. Over 6 months, 450 new patients were enrolled; sexual activity and function were evaluated by a sexual questionnaire and female sexual function index (FSFI) and sexual function information were obtained during the physician interview. Two hundred forty-three (54%) of the 460 women included were not sexually active. They estimate a prevalence of sexual complaints in 64% of sexually active women. In this population in which pelvic support problems occur, sexual changes due to lack of support of pelvic organs are often added to the genital changes for aging (the atrophy) and also to the erectile difficulties in the partners.In a cohort of community-dwelling women who were enrolled in a managed healthcare plan, it was demonstrated that PFDs do not independently affect sexual activity or satisfaction. Women with POP, AI, or any ≥1 PFD, although less likely to be sexually active, had rates of sexual activity eq...

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Complete laparoscopic treatment of genital prolapse with meshes including vaginal promontofixation and anterior repair: A series of 138 patients

Cited by 115 publications

References 14 publications

Patient satisfaction after laparoscopic lateral suspension with mesh for pelvic organ prolapse: outcome report of a continuous series of 417 patients

Patient satisfaction after laparoscopic lateral suspension with mesh for pelvic organ prolapse: outcome report of a continuous series of 417 patients

Laparoscopic sacrocolpopexy: impact of the learning curve. Historic retrospective comparative study between two series of 93 and 169 patients

De novo dyspareunia after pelvic organ prolapse surgery

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