The comparison of the anatomical and symptomatic outcomes of sacrocolpopexy and posterior intravaginal slingoplasty

Sivaslıoğlu, Ahmet Akın; İlhan, Tolga Tuyan; Aydoğmuş, Serpil; Uzun, Mustafa; Dölen, İsmail

doi:10.1007/s00192-011-1442-z

Cited by 5 publications

(3 citation statements)

References 12 publications

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“…Brubaker et al (30) reported that Burch colposuspension performed simultaneously with ASC reduced the development of stress urinary incontinence (SUI). Similarly, Sivaslioglu et al (31) added Burch colposuspension to ASC because of the same reasons. In the present study, all patients underwent bilateral paravaginal support and primary repair if a midline fascial defect was present, and none of the patients developed a defect during a follow-up period of 18 months.…”

Section: Discussionmentioning

confidence: 99%

Bilateral sacrospinous fixation without hysterectomy: 18-month follow-up

Şentürk¹,

Güraslan²,

Çakmak³

et al. 2015

J Turkish German Gynecol Assoc

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Objective:The aim of this study was to evaluate the results of bilateral sacrospinous fixation (SSF), which was performed with surgical mesh interposition and bilateral vaginal repair. Twenty-two patients underwent SSF between 2010 and, and the results were evaluated retrospectively. The results at preoperative and postoperative 6 th , 12 th , and 18 th months of the pelvic organ prolapse quantification system (POP-Q) and the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire-12 (PISQ-12) were compared using Friedman and Wilcoxon Signed Ranks tests. Values of p<0.05 and <0.01 were considered statistically significant. Material and Methods: Results:According to the POP-Q, significant healing was observed on all vaginal vault points (p=0.001), and no prolapse was observed until the 18-month follow-up stage. There were also prominent patients who felt satisfactory with respect to their sexual life according to . Conclusion:This technique appears to provide an adequate clinical resolution, and it may be the primary surgical option for women with pelvic organ prolapse. (J Turk Ger Gynecol Assoc 2015; 16: 102-6) Keywords: Pelvic organ prolapse, surgical mesh, vaginal vault Received: 29 December, 2014 Accepted: 08 March, 2015 Bilateral sacrospinous fixation without hysterectomy: 18-month follow-up Abstract(PISQ-12) forms were completed. In addition, all patients were evaluated with Pap smear, and transvaginal ultrasonography was performed to evaluate endometrial thickness in postmenopausal patients. The operation time and the intraoperative and postoperative complications were recorded. All patients were re-examined according to the POP-Q system, and PISQ-12 forms were completed at 6, 12, and 18 months postoperatively (12). Treatment failure was defined as the presence of more than stage 1 prolapse. All surgeries were conducted under spinal anesthesia by a single surgeon experienced in pelvic floor surgery. Foley catheter was removed 6h after surgery. Postvoiding residual volume was evaluated by the Foley catheter, and PVR of less than 50 ml is considered to constitute adequate bladder emptying (13). Postvoidal residual volume was evaluated only in patients with stress urinary incontinence. All patients were discharged from the hospital on postoperative day 2. There was no necessary approval of the local ethic community because of the retrospective design of the study.The procedure was initiated with saline infusion from the posterior vaginal wall towards the ischial spine under the mucosa. After the initial midline incision was made on the posterior vaginal wall, digital blunt dissection of the coccygeus muscle was performed to access the sacrospinous ligament. The adipose tissue overlying the coccygeus muscle was removed to completely expose the sacrospinous ligament. A polypropylene suture (Prolen®; Ethicon, Norderstedt, Germany) (no:1) was bilaterally placed on the sacrospinous ligament. The tips of the 5×1.5 cm polypropylene mesh (Prolen®; Ethicon, Norderstedt, Germany) were suspended over th...

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Section: Discussionmentioning

confidence: 99%

Bilateral sacrospinous fixation without hysterectomy: 18-month follow-up

Şentürk¹,

Güraslan²,

Çakmak³

et al. 2015

J Turkish German Gynecol Assoc

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“…Many commercial kits have been introduced in the market [57]. When comparing slingoplasty with sacrocolpopexy, the same efficacy was reported for both anatomical and symptomatic improvement [58]. …”

Section: Surgical Managementmentioning

confidence: 99%

“…In particular, anterior vaginal wall prolapse may recur in 30% to 70% of patients after standard anterior colporrhaphy [18,58,84], whereas recurrence rates in the posterior compartment after posterior colporrhaphy are only 10% to 20% [85,86]. In light of these high failure rates of the anterior compartment, vaginal surgery with synthetic meshes and biological grafts has been introduced.…”

Section: Surgical Managementmentioning

confidence: 99%

Management of Pelvic Organ Prolapse

Choi

Hong

2014

Korean J Urol

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Quality of life is adversely affected by pelvic organ prolapse, the prevalence of which is increasing because of the persistently growing older population. Today, the tension-free vaginal mesh kit has grown in popularity owing to its comparable cure rate to traditional reconstructive surgery and the feasibility of an early return to normal life. However, significant debate remains over the long-term cure rate and the safety of tension-free vaginal mesh in the United States. The U.S. Food and Drug Administration recommends obtaining informed consent about the safety and cure rate when the patient chooses surgery using the tension-free vaginal mesh kit or meshes before surgery. The goal of surgery for pelvic organ prolapse is the restoration of anatomic defects. This review article provides an overview of basic surgical techniques and the results, advantages, and disadvantages of surgery for pelvic organ prolapse.

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