Descending Perineum Associated With Pelvic Organ Prolapse Treated by Sacral Colpoperineopexy and Retrorectal Mesh Fixation: Preliminary Results.

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_B036C905EF78
Type
Article: article from journal or magazin.
Collection
Publications
Title
Descending Perineum Associated With Pelvic Organ Prolapse Treated by Sacral Colpoperineopexy and Retrorectal Mesh Fixation: Preliminary Results.
Journal
Frontiers in surgery
Author(s)
Nessi A., Kane A., Vincens E., Salet-Lizée D., Lepigeon K., Villet R.
ISSN
2296-875X (Print)
ISSN-L
2296-875X
Publication state
Published
Issued date
2018
Peer-reviewed
Oui
Volume
5
Pages
50
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
<b>Introduction and hypothesis:</b> Descending Perineum Syndrome (DPS) is a coloproctologic disease and the best treatment for it is yet to be defined. DPS is frequently associated with pelvic organ prolapse (POP) and it is reasonable to postulate, that treatment of POP will also have an impact on DPS. We aimed to evaluate the subjective satisfaction and improvement of DPS for patients who have undergone a sacral colpoperineopexy associated with retrorectal mesh for concomitant POP. <b>Methods:</b> This retrospective cohort study, conducted between February 2010 and May 2016 included all women who had undergone surgery to treat POP and DPS. Improvement of POP was assessed clinically and subjective satisfaction was assessed with a survey. <b>Results:</b> Among the 37 operated patients, 31 responded to the questionnaire and 77.4% were satisfied with this surgical procedure. 94.6% were objectively cured for POP. There was a 60% improvement rate for constipation, 63.5 and 68% were cured or improved for ODS and the need for digital maneuvers respectively. <b>Conclusion:</b> Sacral colpoperineopexy associated with retrorectal dorsal mesh appears to objectively and subjectively improve POP associated with DPS.
Keywords
Sacral colpoperineopexy, descending perineum syndrome, mini invasive surgery, obstructed defecation syndrome, quality of life
Pubmed
Open Access
Yes
Create date
17/10/2018 10:52
Last modification date
20/08/2019 15:19
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