Efficacy of Posterior IVS for the Patients with Vaginal Vault and Uterine Prolapse

2006 ◽  
Vol 47 (3) ◽  
pp. 263 ◽  
Author(s):  
Du Yong Kim ◽  
Seong Choi
Keyword(s):  
Uterine Prolapse ◽  
Vaginal Vault ◽  
Posterior Ivs

scholarly journals Uterine Prolapse: From Antiquity to Today

2012 ◽  
Vol 2012 ◽  
pp. 1-9 ◽  
Author(s):  
Keith T. Downing
Keyword(s):  
Medical Literature ◽  
Uterine Prolapse ◽  
Vaginal Vault Prolapse ◽  
Vaginal Vault ◽  
Vault Prolapse ◽  
Female Pelvic Medicine

Uterine prolapse is a condition that has likely affected women for all of time as it is documented in the oldest medical literature. By looking at the watershed moments in its recorded history we are able to appreciate the evolution of urogynecology and to gain perspective on the challenges faced by today's female pelvic medicine and reconstructive surgeons in their attempts to treat uterine and vaginal vault prolapse.

scholarly journals Robot-assisted sacrocolpopexy: not only for vaginal vault suspension? An observational cohort study

2021 ◽  
Author(s):  
Femke van Zanten ◽  
Egbert Lenters ◽  
Ivo A. M. J. Broeders ◽  
Steven E. Schraffordt Koops
Keyword(s):  
Cohort Study ◽  
Pelvic Floor ◽  
Uterine Prolapse ◽  
Observational Cohort Study ◽  
Vaginal Vault ◽  
Secondary Outcome ◽  
Robot Assisted ◽  
Recurrence Rates ◽  
Patient Reported ◽  
Observational Cohort

Abstract Introduction and hypothesis Surgery for pelvic organ prolapse (POP) has high recurrence rates. Long-term anatomical and patient-reported outcomes after pelvic floor repair are therefore required. Methods This prospective observational cohort study was conducted in a teaching hospital with tertiary referral function for patients with POP. Patients with symptomatic vaginal vault or uterine prolapse (simplified POP Quantification [sPOPQ] stage ≥2), who underwent robot-assisted sacrocolpopexy (RASC) or supracervical hysterectomy with sacrocervicopexy (RSHS), were included. Follow-up visits with sPOPQ evaluations were planned 4 years after surgery. Patients received pre- and postoperative questionnaires reporting symptoms of vaginal bulge, Urogenital Distress Inventory (UDI-6), and Pelvic Floor Impact Questionnaire (PFIQ-7). Primary outcome was patient self-reported symptoms. Secondary outcome was anatomical cure (sPOPQ stage 1) for all vaginal compartments. Results Seventy-seven patients were included. Sixty-one patients (79%) were evaluated after 50 months (physical examination n = 51). Symptoms of bulge (95% vs 15% p ˂ 0.0005), median UDI-6 scores (26.7 vs 22.2, p = 0.048), median PFIQ-7 scores (60.0 vs 0, p = 0.008), and median sPOPQ stages in all landmarks improved significantly from the pre- to the postoperative visit. Thirty patients (59%) were completely recurrence free and 96% of patients had no apical recurrence. Most recurrences were asymptomatic cystoceles (20%). There was one surgical re-intervention for recurrent prolapse (1.6%). Conclusions Robot-assisted sacrocolpopexy and RSHS show sustainable results in the treatment of prolapse. Symptoms of bulge, urinary symptoms, and quality of life improved substantially 50 months postoperatively. Patients should be counseled about the risk of anterior wall recurrence and the small chance of recurrent symptoms that need treatment.

scholarly journals Vaginal vault reconstruction and apical sling in the treatment of post-hysterectomy prolapsE

2017 ◽  
Vol 66 (1) ◽  
pp. 46-55
Author(s):  
Dmitry D Shkarupa ◽  
Alexandr A Bezmenko ◽  
Nikita D Kubin ◽  
Ekaterina A Shapovalova ◽  
Alexey V Pisarev
Keyword(s):  
Surgical Treatment ◽  
De Novo ◽  
Uterine Prolapse ◽  
Operation Time ◽  
Vaginal Wall ◽  
Vaginal Vault Prolapse ◽  
Vaginal Vault ◽  
Vault Prolapse ◽  
Sacrospinous Fixation ◽  
Apical Sling

Introduction. Frequency of vaginal vault prolapse (VVP) requiring surgical repair is up to 6-8% and 11.6-45% in patients with prior hysterectomy for uterine prolapse. Reported recurrence rate of VVP following different techniques of surgical correction is up to 10%.Objective: to evaluate the effectiveness of the novel technique: bilateral sacrospinous fixation of reconstructed vaginal wall (neocervix) by monofilament polypropylene apical sling (Urosling 1; Lintex, Saint Petersburg, Russia) in surgical treatment of VVP.Methods. This prospective study involved 61 women suffering from post-hysterectomy prolapse. To evaluate the results of surgical treatment, data of a vaginal examination (POP-Q), uroflowmetry, bladder ultrasound, validated questionnaires were used. All listed parameters were determined before the surgery and at control examinations in 1, 6, 12 months after the treatment.Results. Mean operation time was 35 minutes. No cases of intraoperative damage to the bladder/rectum, as well as clinically significant bleeding were noted. 12-months anatomical cure rate (≤ stage I, POP-Q) was 100%, 94.4% and 100% for apical, anterior and posterior vaginal compartments, respectively. At 1 month of follow-up stress urinary incontinence de novo and urgency de novo were noted in 6.5% and 4.9%, respectively. Statistically significant (p < 0.05) improvement in peak flow rate was observed according to uroflowmetry. Comparison of the scores by the questionnaires revealed a significant improvement in the quality of life in the postoperative period.Conclusion. Bilateral sacrospinous fixation of reconstructed vaginal wall (neocervix) by monofilament polypropylene apical sling appears to be effective and safe method for treatment patients with vaginal vault prolapse.

scholarly journals Abdominal sling surgery: Artificial sacro-uterine ligament

2002 ◽  
Vol 55 (7-8) ◽  
pp. 279-285 ◽  
Author(s):  
Petar Draca ◽  
Stamenko Miljkovic ◽  
Branislava Jakovljevic
Keyword(s):  
Uterine Prolapse ◽  
Genital Prolapse ◽  
Posterior Wall ◽  
Anterior Wall ◽  
Vaginal Vault Prolapse ◽  
Vaginal Vault ◽  
Vault Prolapse ◽  
Total Hysterectomy ◽  
Sling Surgery ◽  
Douglas Pouch

Abdominal sling surgery is defined as attachment of either the connective tissue graft (fascia lata) or some synthetic material (Mersilene) to the anterior wall of the exposed vaginal vault following total hysterectomy or to the posterior wall of the uterine cervix in total and subtotal uterine prolapse, whereas the other end is attached to the anterior longitudinal ligament extending along the anterior surface of the vertebrae. Our analysis comprised 45 operations: 20 cases of vaginal vault prolapse following vaginal hysterectomy; 7 cases of vaginal vault prolapse following HTA: 2 cases of prolapse following subtotal hysterectomy; 3 cases of nondefined TH 2 cases following Burch operation; 1 following Kocher; 1 following Manchester, 1 following Neugebauer-Le For operation in which HTA was performed 2 times. Abdominal sling operation was associated with the following surgical procedures: sling in 13 cases, sling + douglasorrhaphy in 16 cases, sling + douglasorrhaphy + colpoperineoplastics in 6 cases, sling colpoperineoplastics in 9 cases and sling + Marshall Marcetti in 1 case. Recurrence of enterocele was recorded in 5 patients in whom closure of the douglas pouch had not been performed. This procedure was therefore later included into our approach to the operation. The abdominal sling operation has been a logical and physiologic approach to surgical therapy of genital prolapse, particulary of the vaginal vault prolapse following total hysterectomy. This operation ensures subsequent normal sexual relations.

Transvaginal surgical prevention of post-hysterectomy vaginal vault prolapse in patients with complete uterine prolapse

2017 ◽  
Vol 16 (3) ◽  
pp. 43-46
Author(s):  
A.A. .Ishchenko ◽  
◽  
A.I. Ishchenko ◽  
L.S. Aleksandrov ◽  
O.Yu. Gorbenko ◽  
...  
Keyword(s):  
Uterine Prolapse ◽  
Vaginal Vault Prolapse ◽  
Vaginal Vault ◽  
Vault Prolapse ◽  
Surgical Prevention
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