Transvaginal mesh or grafts or native tissue repair for vaginal prolapse

Yeung, Ellen; Baessler, Kaven; Christmann-Schmid, Corina; Haya, Nir; Chen, Zhuoran; Wallace, Sheila A; Mowat, Alex; Maher, Christopher

doi:10.1002/14651858.cd012079.pub2

Cochrane Database of Systematic Reviews

2024

DOI: 10.1002/14651858.cd012079.pub2

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Transvaginal mesh or grafts or native tissue repair for vaginal prolapse

Ellen Yeung,

Kaven Baessler,

Corina Christmann-Schmid

et al.

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2024

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Cited by 3 publications

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Do Women with Urinary Incontinence and Pelvic Organ Prolapse Receive Optimal First-Line Treatment?

Bø,

Engh,

Teig

et al. 2024

Int Urogynecol J

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Introduction and Hypothesis There is scant knowledge on previous pelvic floor muscle training (PFMT) in women with urinary incontinence (UI) and pelvic organ prolapse (POP) referred to hospitals. We hypothesized that women with predominately UI and POP had not received optimal primary care conservative management. Methods This was a descriptive, cross-sectional survey among women attending a gynecological outpatient’s clinic. The questionnaire included questions about demographics, PFMT dosage, whether ability to contract had been assessed and whether the patients had used precontraction before increase in intra-abdominal pressure (“the knack”). Results One hundred two women, mean age 52.5 (SD 13.4) years, responded; 37.3% had never been treated previously. There was no statistically significant difference in age, BMI, level of education, parity, time since last birth, SUI, or POP between the women who had been treated conservatively or not before the hospital visit. Thirty-three percent had trained with a physiotherapist and > 35% reported that their ability to contract had not been assessed or were unsure whether it had been assessed; 37% were not able to stop their urine stream; 52% reported that they performed “the knack,” with 15.7% reporting it to be effective. Reasons for not having trained the PFM before visiting the hospital included not being motivated, not knowing how to do PFMT, not being told/advised to do PFMT and not believing PFMT would help. Conclusion The results of this study indicated that there is a need for improvement within first-line health care service for women with predominately UI and POP.

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Do Women with Urinary Incontinence and Pelvic Organ Prolapse Receive Optimal First-Line Treatment?

Bø,

Engh,

Teig

et al. 2024

Int Urogynecol J

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Histerectomía subtotal vía vaginal con preservación de anillo cervical y suspensión del muñón cervical a ligamento sacroespinoso en mujeres con prolapso genital. Cohorte de expuestos

Machado Bernal,

Lozada Ríos,

Gómez Castro

2024

Rev. colomb. obstet. ginecol.

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Objetivos: hacer una aproximación a la seguridad y eficacia a corto plazo de la histerectomía vaginal con preservación de cuello uterino en pacientes con prolapso genital estadios II a IV. Materiales y métodos: estudio descriptivo tipo serie de casos. Se incluyeron mujeres con prolapso genital estadios II a IV, con indicación de histerectomía vía vaginal, con citología cervicovaginal negativa para malignidad, que fueron sometidas a histerectomía subtotal vía vaginal, con suspensión del muñón cervical al ligamento sacro-espinoso, del 1 de junio al 31 de diciembre de 2023 en una clínica general de alta complejidad. Se analizaron variables sociodemográficas y complicaciones a los seis meses del posoperatorio. Se presenta la técnica quirúrgica y se realiza análisis descriptivo y la exposición quirúrgica de la técnica con suspensión del muñón cervical al ligamento sacro-espinoso. Resultados: en el periodo descrito consultaron 10 pacientes, de las cuales ocho cumplieron los criterios de inclusión. La duración media del procedimiento quirúrgico fue de 133 min. El sangrado tuvo una media de 200 cc. Una paciente requirió uso de analgésico para el dolor neuropático periférico tipo pregabalina, con lo que se logró adecuado manejo del dolor posoperatorio. No se presentaron otras complicaciones intraoperatorias o posoperatorias. No hubo recurrencia de prolapso a los seis meses de evaluadas las pacientes. Conclusiones: la histerectomía subtotal vía vaginal con suspensión del muñón cervical al ligamento sacro-espinoso es una técnica de reparación quirúrgica que podría ser considerada para el manejo del prolapso uterino. Se requieren estudios aleatorizados que comparen esta técnica con otras alternativas de manejo para evaluar su eficacia a largo plazo y su seguridad.

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Laparoscopia în uroginecologie: progrese, provocări şi direcţii de viitor

Solanki,

Mishra

2024

Ginecologia.ro

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Transvaginal mesh or grafts or native tissue repair for vaginal prolapse

Cited by 3 publications

References 84 publications

Do Women with Urinary Incontinence and Pelvic Organ Prolapse Receive Optimal First-Line Treatment?

Do Women with Urinary Incontinence and Pelvic Organ Prolapse Receive Optimal First-Line Treatment?

Histerectomía subtotal vía vaginal con preservación de anillo cervical y suspensión del muñón cervical a ligamento sacroespinoso en mujeres con prolapso genital. Cohorte de expuestos

Laparoscopia în uroginecologie: progrese, provocări şi direcţii de viitor

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