Transvaginal colposuspension for the treatment of genuine stress incontinence combined with vaginal hysterectomy: a preliminary report

Barlas, P.; Hatzipapas, J.; Bias, A.; Athanasopoulos, Anastasios

doi:10.1007/bf01895099

Cited by 5 publications

(4 citation statements)

References 10 publications

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“…19,20 Barlas et al used a transvaginal needle suspension in combination with vaginal hysterectomy for uterine prolapse and stress incontinence. 9 This surgery was successful for 85% of incontinent women, but the data for recurrent prolapse were not shown.…”

Section: Discussionmentioning

confidence: 96%

“…Urogynecologists may choose to perform concomitant hysterectomy with one of two commonly used anti-incontinence procedures-retropubic urethropexy or transvaginal needle suspension-to treat the complicated cases. [7][8][9] However, recurrence of vaginal wall defects or vaginal vault prolapse often occurs and is troublesome after vaginal reconstructive surgery. 3,10,11 In this study, we performed Raz four-corner suspension with approximation of the pubocervical fasciae and concomitant vaginal hysterectomy to treat advanced genitourinary prolapse and stress incontinence.…”

Section: Introduction U Rinary Incontinence Causes Discomfort and Socmentioning

confidence: 99%

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Vaginal Hysterectomy with Modified Four-Corner Suspension for Severe Pelvic Relaxation and Stress Incontinence

Liang

Chang

Soong

2001

Journal of Gynecologic Surgery

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The aim of this study was to evaluate the effect of concomitant vaginal hysterectomy with modified four-corner suspension for the treatment of advanced genitourinary prolapse and stress urinary incontinence. Twenty-five patients with genuine stress incontinence and advanced genitourinary prolapse underwent concomitant vaginal hysterectomy and Raz fourcorner suspension with approximation of bilateral pubocervical fasciae. The surgical results were assessed using the urodynamic study, the 1-hour pad test, and the bladder diary, 6 months postoperatively. Each patient was asked to return for an assessment of pelvic support every 6 months. The average length of follow-up was 26.3 months. Clinical evaluation of urinary incontinence showed that 21 (84%) patients were cured. Twenty-one patients received postoperative urodynamic investigation, and 17 (81%) were found normal. The results of this study suggest that concomitant vaginal hysterectomy and four-corner suspension with approximation of bilateral pubocervical fasciae provide a good opportunity to correct advanced genitourinary prolapse and stress incontinence. (J GYNECOL SURG 17:41, 2001)

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Section: Discussionmentioning

confidence: 96%

Section: Introduction U Rinary Incontinence Causes Discomfort and Socmentioning

confidence: 99%

Vaginal Hysterectomy with Modified Four-Corner Suspension for Severe Pelvic Relaxation and Stress Incontinence

Liang

Chang

Soong

2001

Journal of Gynecologic Surgery

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“…They underwent Stamey procedure as modified by Barlas et al [5], namely via a blunt malleable eyetip needle, combined with vaginal hysterectomy. 17 out of 32 women presented with cystocele preoperatively.…”

Section: Methodsmentioning

confidence: 99%

“…The results of the latter, show a decline in the long-term success rate [4]. A few years ago, we described a simple and fast vaginal operative procedure in combination with vaginal hysterectomy [5]. Briefly, this procedure is as follow: After completion of the vaginal hysterectomy, the classical steps of Stamey needle suspension are followed.…”

Section: Introductionmentioning

confidence: 99%

Long-Term Results of Transvaginal Colposuspension for the Treatment of Genuine Stress Incontinence Combined with Vaginal Hysterectomy

Athanasopoulos

Barlas²,

Perimenis³

et al. 2003

Urol Int

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We assessed the long-term efficacy of a modified transvaginal needle bladder neck suspension, combined with vaginal hysterectomy, for the treatment of female stress incontinence. Thirty-two women who underwent this procedure were followed up clinically and urodynamically 1 and 5 years postoperatively. A total of 27 women (84.4%) were cured 1 year postoperatively. Of the 29 women who were followed up 5 years postoperatively, 21 (72.4%) had a satisfactory result (p = 0.157). No significant differences were observed in maximum urine flow rate, residual volume of urine, and functional length of the urethra. On the contrary, the maximum urethral closure pressure was significantly decreased (p = 0.004). Although the results of our study show a decline in success rate by time, the overall long-term efficacy of this technique is undoubtedly satisfactory. This technique is promising as an easy and minimally invasive surgical procedure for bladder neck suspension.

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Apical vault repair, the cornerstone or pelvic vault reconstruction

Ross¹

1997

Int Urogynecol J

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Pelvic organ prolapse remains a difficult problem for pelvic reconstructive surgery. Before new surgical procedures can be developed a good understanding of pelvic anatomy is necessary. It is widely held that the etiology of pelvic organ prolapse is secondary to stretch neuropathy following childbirth and chronic cough or constipation. Several transvaginal and transabdominal procedures have been developed over the years. With the increasing use of laparoscopy, a new variation on existing culdeplasty techniques has been developed. Following anatomical principles, the apical vault repair reestablishes the pericervical ring at the vaginal apex. The incorporation of pubocervical fascia, uterosacral-cardinal ligament and the rectovaginal fascia provides a strong anchor for the vaginal apex. In addition, the repair should help prevent future transverse cystocele, rectocele, enterocele and apical vault prolapse. Early outcome studies suggest that the apical vault repair should be used routinely with laparoscopic urethropexy, laparoscopic hysterectomy and the repair of pelvic organ prolapse. Good apical vault support is considered the cornerstone of pelvic reconstruction.

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Transvaginal colposuspension for the treatment of genuine stress incontinence combined with vaginal hysterectomy: a preliminary report

Cited by 5 publications

References 10 publications

Vaginal Hysterectomy with Modified Four-Corner Suspension for Severe Pelvic Relaxation and Stress Incontinence

Vaginal Hysterectomy with Modified Four-Corner Suspension for Severe Pelvic Relaxation and Stress Incontinence

Long-Term Results of Transvaginal Colposuspension for the Treatment of Genuine Stress Incontinence Combined with Vaginal Hysterectomy

Apical vault repair, the cornerstone or pelvic vault reconstruction

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