Int Urogynecol J (2017) 28:1421–1423 DOI 10.1007/s00192-017-3277-8 IUJ VIDEO Transvaginal uterosacral ligament suspension for posthysterectomy vaginal vault prolapse repair 1 1 2 3 Rodolfo Milani & Matteo Frigerio & Federico Spelzini & Stefano Manodoro Received: 23 December 2016 /Accepted: 16 January 2017 /Published online: 10 February 2017 The International Urogynecological Association 2017 Abstract visualization of ureter, and proper suture positioning are the Introduction and hypothesis Posthysterectomy vaginal vault key points to minimize the risk of complications. prolapse repair represents a challenge for urogynecologists. Surgical management can be successfully achieved with na- Keywords Uterosacral ligament suspension Pelvic organ . . . tive tissue using a vaginal approach with uterosacral ligament prolapse Video tutorial Native-tissue repair Vaginal vault (USL) suspension. However, severe complications have been prolapse described, mainly related to ureteral injury. Methods A 57-year-old woman with symptomatic stage 2 vaginal vault prolapse underwent transvaginal USL suspen- Introduction sion according to the described technique. Results Surgical procedure was successfully achieved without Surgical treatment of vaginal vault prolapse represents a chal- complications. Final examination revealed excellent apical lenge for urogynecologists. Available techniques include support and preservation of vaginal length. However, ureteral native-tissue repair and mesh augmentation using an abdom- damage represents the
International Urogynecology Journal – Springer Journals
Published: Feb 10, 2017
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