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- Title
Efficacy and 9 years' follow-up of posterior intravaginal slingplasty for genital prolapse.
- Authors
Capobianco, Giampiero; Donolo, Ermes; Wenger, Jean Marie; Madonia, Massimo; Cosmi, Erich; Antimi, Lavinia; Dessole, Margherita; Cherchi, Pier Luigi
- Abstract
Aim The aim of this study was to assess the long-term efficacy and complication rates of posterior intravaginal slingplasty ( IVS) in women suffering from genital prolapse. Material and Methods Posterior IVS or infracoccygeal sacropexy is a minimally invasive procedure for suspension of the vagina with the goal of creating new uterosacral ligaments through the insertion of a polypropylene tape. Forty-four patients were enrolled: 25 patients, affected by uterovaginal prolapse, were subjected to vaginal hysterectomy and posterior IVS; and 19 patients, diagnosed with vaginal vault prolapse, were subjected to posterior IVS alone. The primary outcome for posterior IVS was 12-month, 24-month and annual 9-year postoperative efficacy that is based on a Pelvic Organ Prolapse Quantitative score of −5 at point C, which describes the vaginal apex. Results Of the 44 patients who underwent posterior IVS, none required blood transfusions with an average reduction of perioperative hemoglobin of 1.2 ± 0.4 g/dl, and the average time of hospitalization was 4.3 ± 0.6 days. The rate of success was 93.18% (41/44) at 9 years' follow-up. We had only one case of extrusion (2.27%) and three cases of recurrence (6.82%), such as two cases of cystocele and of rectocele. Conclusions Most patients interviewed confirmed that their quality of life improved after surgery, 86.36% of the operated patients reported that their sexual performance improved and that they would recommend this surgery for their friends. Posterior IVS was a minimally invasive surgical procedure with a high success rate for genital prolapse.
- Subjects
ARTIFICIAL implants; CHI-squared test; CONFIDENCE intervals; ENDOSCOPIC surgery; EPIDEMIOLOGY; FISHER exact test; HEALTH outcome assessment; QUESTIONNAIRES; SURGICAL complications; TREATMENT of urinary stress incontinence; UTERINE prolapse; DATA analysis; TREATMENT effectiveness; DESCRIPTIVE statistics
- Publication
Journal of Obstetrics & Gynaecology Research, 2014, Vol 40, Issue 1, p219
- ISSN
1341-8076
- Publication type
Article
- DOI
10.1111/jog.12162