Sacrospinous Fixation for the Prolapsed Vaginal Vault

Özcan, Utku; Güngör, Tayfun; Ekin, Murat; Eken, Sinan

doi:10.1159/000010064

Cited by 17 publications

(6 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…For uterus- sparing prolapse repair, apart from AHSP, other abdominal procedures have been described including combined vaginal-abdominal retropubic uterine suspension, pectineal ligament uterine suspension and hysterosacropexy [22,23]. Vaginal procedures have also been described to result in satisfactory outcomes [24][25][26][27][28]. As in the case of abdominal access to prolapse repair, studies evaluating the vaginal approach with concomitant hysterectomy versus uterus preservation have shown no difference in the, overall low, rates of prolapse recurrence [26,27].…”

Section: Discussionmentioning

confidence: 99%

Uterus Preserving Prolapse Repair: How Long does it Last?

et al. 2019

View full text Add to dashboard Cite

Background: The preservation of the uterus has an important role in the pelvic organ prolapse (POP) surgery. Objectives: The aim of this study is to assess the long-term anatomical and functional outcomes of abdominal hysterosacropexy. Methods: Prospective study. A series of women who underwent open abdominal hysterosacropexy for high-stage POP with a minimum 75-month follow-up were included. Results: Data on 51 patients were included. Median follow-up was 136.7 months (range 75.8–258 months). Apical prolapse cure rate was 100%. The success rate for anterior and posterior vaginal compartment was 96 and 94% respectively. Urinary and sexual symptoms significantly improved. Ninety-two percentage of the women were “extremely” or “very much improved” with the operation. Conclusion: This study confirms that abdominal hysterosacropexy is a good surgical option with durable results for the management of POP in women who wish to preserve their uterus.

show abstract

Section: Discussionmentioning

confidence: 99%

Uterus Preserving Prolapse Repair: How Long does it Last?

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Other serious complications include ureteric kinking (2.9%), pelvic organ injuries like perforation of small bowel, bladder, rectum (0.8%), vaginal adhesions, rectovaginal fistulae (0.5%), and nerve damage or pain (1.8%) (Beer and Kuhn 2005). In one study, where sacrospinous fixation was done for vault prolapse the recurrence rate of vault prolapse was 3.7% but other or new pelvic organ prolapses occurred in the form of cystocoele (5.5%), rectocoele (1.8%), and enterocoele (9.2%) (Ozcan et al 1999). However, an analysis of 2,256 patients showed a vault prolapse recurrence of 3.6% with enterocoele 0.7%, cystocoele 4.6% and rectocoele of 1.5% (Beer and Kuhn 2005).…”

Section: Discussionmentioning

confidence: 99%

Abdominal vault suspension with rectus sheath strips: a case series

Gayen

Rymer

Pakarian

et al. 2008

Journal of Obstetrics and Gynaecology

View full text Add to dashboard Cite

This is a retrospective case series conducted in Worthing General Hospital to evaluate the clinical outcome of abdominal vault suspension (AVS) using rectus sheath strips to treat vaginal vault prolapse. Thirty-four patients had suspension of the vaginal vault using this procedure. Patients were followed up at 3-6 months and by questionnaire for up to 90 months. Incidence of intraoperative and postoperative complications, improvement of prolapsed symptoms and recurrence of vault prolapsed were the main outcome measures. There were no serious intraoperative complications. Ninety four percent of patients had subjective resolution of their prolapsed symptoms whereas 6% had further symptoms. Hospital stay ranged from 2 to 8 days. There were no cases of bowel problems in the postoperative period or in the long term. Hospital stay ranged from 2 to 8 days. AVS using rectus sheath strips appears to be a safer and easier alternative to other abdominal suspension procedures. The use of patients' own tissue eliminates the risk of mesh erosion.

show abstract

“…Brummen et al ( 17 ) compared recurrence rates between sacrospinous hysteropexy and vaginal hysteropexy and found similar recurrence rates. Recurrence after sacrospinous fixation, which spares the uterus, have also been reported to be low ( 18 , 37 ) . Nicita et al ( 12 ) reported no recurrence in a 31-month follow-up study after vaginal-approach uterus-sparing surgery.…”

Section: Robotic Surgerymentioning

confidence: 99%

Uterine sparing surgical methods in pelvic organ prolapse

Tola¹,

Erdemoğlu²,

Erdemoğlu³

2015

tjod

View full text Add to dashboard Cite

Pelvic organ prolapse (POP) is defined as the protrusion of pelvic organs to the vagen and is an important health problem in patients of older age. Today, most women with POP prefer uterine sparing surgery due to the changes in lifestyle, beliefs, pregnancy desire, and understanding the role of the uterus and cervix in sexual function. Therefore, the need for newer surgical procedures that involve less invasive surgery, reduced intraoperative and postoperative risks, and a faster healing time in POP surgery have gained importance. Vaginal, abdominal, laparoscopic, and robotic methods are defined in uterine preserving surgery but there is not yet a consensus on which of them should be chosen. In choosing the proper technique, the patient’s general status, accompanying disease, correct indication, and the surgeon’s experience are all important. In our practice we prefer laparoscopic mesh sacrohysteropexy in patients who prefer to preserve their uterus because of the lower costs and high success rates compared with abdominal and robotic techniques.

show abstract

Sacrospinous Fixation for the Prolapsed Vaginal Vault

Cited by 17 publications

References 16 publications

Uterus Preserving Prolapse Repair: How Long does it Last?

Uterus Preserving Prolapse Repair: How Long does it Last?

Abdominal vault suspension with rectus sheath strips: a case series

Uterine sparing surgical methods in pelvic organ prolapse

Contact Info

Product

Resources

About