Bilateral extraperitoneal uterosacral vaginal vault suspension: a 2-year follow-up longitudinal case series of 123 patients.

Détails

ID Serval
serval:BIB_92F1AB0E1E6D
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Bilateral extraperitoneal uterosacral vaginal vault suspension: a 2-year follow-up longitudinal case series of 123 patients.
Périodique
International Urogynecology Journal and Pelvic Floor Dysfunction
Auteur(s)
Fatton B., Dwyer P.L., Achtari C., Tan P.K.
ISSN
1433-3023[electronic]
Statut éditorial
Publié
Date de publication
2009
Volume
20
Numéro
4
Pages
427-434
Langue
anglais
Résumé
INTRODUCTION AND HYPOTHESIS: The objective of this study is to assess anatomical and functional results of the extraperitoneal uterosacral ligament suspension (USL) in women with post-hysterectomy vaginal vault prolapse. METHODS: One hundred and twenty-three consecutive women were included. Concurrent procedures were anterior colporraphy with fascial repair (20%) and mesh reinforcement (49%), posterior colporraphy with fascial repair (38%) and mesh reinforcement (56%) and a sling procedure (29%). Women were assessed using Baden and Walker and pelvic organ prolapse quantification classification pre- and post-operatively. RESULTS: One hundred and ten patients (89%) were available for follow-up. Mean follow-up was 2 years. Objective success rate regarding the vaginal cuff is 95.4%. Global anatomical success rate was 85.5%. Urinary, coital and bowel symptoms were improved following surgery. Mesh exposure rate was 19.3%, with all cases managed conservatively or with minor interventions. CONCLUSION: Bilateral extraperitoneal USL is an effective operation to restore apical support with low morbidity, which avoids potential risks associated with opening the peritoneal cavity.
Mots-clé
Aged, Aged, 80 and over, Female, Follow-Up Studies, Gynecologic Surgical Procedures/adverse effects, Gynecologic Surgical Procedures/instrumentation, Humans, Hysterectomy/adverse effects, Ligaments/surgery, Longitudinal Studies, Middle Aged, Patient Satisfaction, Suburethral Slings/adverse effects, Surgical Mesh/adverse effects, Treatment Outcome, Uterine Prolapse/etiology, Uterine Prolapse/surgery
Pubmed
Web of science
Création de la notice
12/02/2010 19:13
Dernière modification de la notice
20/08/2019 15:55
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