Descending Perineum Associated With Pelvic Organ Prolapse Treated by Sacral Colpoperineopexy and Retrorectal Mesh Fixation: Preliminary Results

Nessi, Aude; Kane, A.; Vincens, E.; Salet-Lizee, D.; Lepigeon, Karine; Villet, R.

doi:10.3389/fsurg.2018.00050

Cited by 7 publications

(2 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[14][15][16][17][18][19] POP causes Obstructed Defecatory Syndrome (ODS). 20,21 In our study, the mean ODS score was statistically significant between pre-operation and 3 months post-operation, also 3 months post-operation and at the time of data gathering, but there was no significant difference between pre-operation and at the time of data gathering, in mean follow up of 1 year. Thus, the ODS Altomare score was significantly improved 3 months after surgery.…”

Section: Discussioncontrasting

confidence: 47%

Laparoscopic pelvic organ suspension with mesh: a modified technique and primary results

Khodaei

Ghahramani

Khazraei

et al. 2019

Journal of Coloproctology

View full text Add to dashboard Cite

Background Pelvic organ prolapse recurrence rate is an important issue which impacts the patient's quality of life and results in a new surgical procedure. We use a new technique of laparoscopic pelvic organ suspension (rectal suspension) for pelvic organ prolapse treatment in our center. We evaluated the results of this technique, three months after surgery and at the time of study reporting. Methods All patients with pelvic organ prolapse for whom laparoscopic pelvic organ prolapse had been done were evaluated. Data were collected from the patient's charts and their short term follow up 3 months after the surgery and their last follow up visit. Demographic, history, physical examination, Wexner's fecal incontinence score and Altomare's Obstructed Defecation Syndrome score, post-operation complications and patient's satisfaction were analyzed, retrospectively. Results All patients were female with a mean age of 57 ± 11.43 years (range 32–86 years). Mean BMI was 26.1 ± 3.73. Nine patients had rectal bleeding (31%), 18 had prolonged or difficult defecation (62%), 16 had rectal prolapse (55.2%), 11 had gas incontinence (37.9%), 9 had liquid stool incontinence (31%), 5 had stool incontinence (17.2%), 9 had vaginal prolapse (31%), 23 had constipation (79.3%), 9 complaint of pelvic pain (31%), 9 had urge or stress urinary incontinence (31%) and 13 had dyspareunia (44.8%). Conclusions In conclusion, we believe this procedure has good results in short term follow up (3 months after surgery), but a high recurrence rate in the middle term follow up. Therefore, this procedure is no longer recommended.

show abstract

Section: Discussioncontrasting

confidence: 47%

Laparoscopic pelvic organ suspension with mesh: a modified technique and primary results

Khodaei

Ghahramani

Khazraei

et al. 2019

Journal of Coloproctology

View full text Add to dashboard Cite

show abstract

“…The discussion would not be complete without commenting on reports of DPS cure as part of pelvic organ prolapse surgery using 3–4 large abdominal promontofixated meshes per DPS patient ( 13 ). Based on questionnaires and telephone contact, the authors reported significant improvement for constipation, and obstructed defecation syndrome (ODS) and the need for digital maneuvers in about 60% of patients.…”

Section: Discussionmentioning

confidence: 99%

Descending perineal syndrome cure by deep transversus perinei ligament repair: surgical options

Hodgson,

Wagenlehner,

del Amo

et al. 2024

Ann Transl Med

View full text Add to dashboard Cite

Descending perineal syndrome (DPS) was described by Parks et al. as descent of the anus on straining, typically 3–4 cm below a line drawn from the coccyx to the lower end of the. DPS is associated with obstructed defecation, with increased bulging of the perineum with straining, although perineal descent can also be seen at rest. In their review, Chaudhry and Tarnay stated: “ It is controversial whether surgical management is even an option for patients with DPS ”. The deep transversus perinei (DTP) ligaments are the suspensory ligaments of the perineal body (PB). DTP are approximately 4 cm long. They attach behind the upper 2/3 and lower 1/3 of the descending ramus. If, at childbirth, the PB is overstretched and displaced laterally and inferiorly, the DTP lengthens. DPS is described as descent of the anus on straining, typically 3–4 cm below a line drawn from the coccyx to the lower end of the symphysis. DPS is associated with obstructed and often, assisted defecation, with increased bulging of the perineum with straining descent of the anus on straining. The surgical methodology begins as a standard PB repair which dissects the rectum from the vagina and PB and approximates the displaced components of the PB. We added an additional step: identifying the DTPs, shortening and reinforcing them with the Tissue Fixation System (TFS) minisling or No. 2 polyester sutures. High cure rates for obstructed defecation were achieved with the TFS minisling, and initial results using No. 2 polyester sutures are favourable. The key messages from both operations is DPS is caused by stretching and elongation of DPS ligaments, and these are surgically repairable.

show abstract

Is perineal hypermobility an independent predictor of obstructive defecation?

et al. 2021

View full text Add to dashboard Cite

Descending Perineum Associated With Pelvic Organ Prolapse Treated by Sacral Colpoperineopexy and Retrorectal Mesh Fixation: Preliminary Results

Cited by 7 publications

References 23 publications

Laparoscopic pelvic organ suspension with mesh: a modified technique and primary results

Laparoscopic pelvic organ suspension with mesh: a modified technique and primary results

Descending perineal syndrome cure by deep transversus perinei ligament repair: surgical options

Is perineal hypermobility an independent predictor of obstructive defecation?

Contact Info

Product

Resources

About