The hybrid technique of pelvic organ prolapse treatment: apical sling and subfascial colporrhaphy

The hybrid technique of pelvic organ prolapse treatment: apical sling and subfascial colporrhaphy Introduction and hypothesis The majority of patients with prolapse was 97.8%. The rate of anatomical recurrence was cystocele undergoing reconstructive surgery have com- 2.2% (3 out of 138). The following long-term complications bined defects of pubocervical fascia and uterosacral/ were noted: de novo urgency and stress urinary incontinence cardinal ligament complex. In this regard, the simultaneous de novo in 2 (1.4%) and 4 (2.9%) patients, respectively. correction of both defects is rational. Furthermore, decreas- Comparison of the scores by the questionnaires also revealed ing the use of synthetic materials in pelvic floor surgery is a significant improvement in the quality of life in the postop- an important goal. The aim was to evaluate the objective erative period. Patient satisfaction rate was 97.1%. Conclusion The hybrid technique is an effective and safe and subjective cure rate of a hybrid technique: bilateral sacrospinous fixation using modern monofilament synthet- uterus-sparing method for patients with advanced forms of cystocele combined with apical prolapse. This technique im- ic tape (apical sling) combined with the original technique of subfascial colporrhaphy. proves voiding function, quality of life, and provides a high Materials and methods This prospective study involved 148 satisfaction rate. women suffering from cystocele combined http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png International Urogynecology Journal Springer Journals

The hybrid technique of pelvic organ prolapse treatment: apical sling and subfascial colporrhaphy

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Publisher
Springer London
Copyright
Copyright © 2017 by The International Urogynecological Association
Subject
Medicine & Public Health; Gynecology; Urology
ISSN
0937-3462
eISSN
1433-3023
D.O.I.
10.1007/s00192-017-3286-7
Publisher site
See Article on Publisher Site

Abstract

Introduction and hypothesis The majority of patients with prolapse was 97.8%. The rate of anatomical recurrence was cystocele undergoing reconstructive surgery have com- 2.2% (3 out of 138). The following long-term complications bined defects of pubocervical fascia and uterosacral/ were noted: de novo urgency and stress urinary incontinence cardinal ligament complex. In this regard, the simultaneous de novo in 2 (1.4%) and 4 (2.9%) patients, respectively. correction of both defects is rational. Furthermore, decreas- Comparison of the scores by the questionnaires also revealed ing the use of synthetic materials in pelvic floor surgery is a significant improvement in the quality of life in the postop- an important goal. The aim was to evaluate the objective erative period. Patient satisfaction rate was 97.1%. Conclusion The hybrid technique is an effective and safe and subjective cure rate of a hybrid technique: bilateral sacrospinous fixation using modern monofilament synthet- uterus-sparing method for patients with advanced forms of cystocele combined with apical prolapse. This technique im- ic tape (apical sling) combined with the original technique of subfascial colporrhaphy. proves voiding function, quality of life, and provides a high Materials and methods This prospective study involved 148 satisfaction rate. women suffering from cystocele combined

Journal

International Urogynecology JournalSpringer Journals

Published: Feb 17, 2017

References

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