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- Title
Perioperative course and medium-term outcome of the transobturator and infracoccygeal hammock for posthysterectomy vaginal vault prolapse
- Authors
Sergent, Fabrice; Zanati, Joël; Bisson, Violène; Desilles, Nicolas; Resch, Benoît; Marpeau, Loïc; Zanati, Joël; Bisson, Violène; Resch, Benoît; Marpeau, Loïc
- Abstract
<bold>Objective: </bold>To describe the perioperative course and medium-term anatomic and functional outcomes of the transobturator-infracoccygeal hammock for posthysterectomy vaginal vault prolapse repair.<bold>Methods: </bold>A prospective consecutive series of 52 women with a stage 2 vaginal vault prolapse or higher that occurred after total hysterectomy who underwent surgery between 2003 and 2007. Principal outcome measures were anatomic cure (stage 1 or lower) and impact on quality of life measured using the pelvic floor distress inventory (PFDI) and pelvic floor impact self-reported questionnaire (PFIQ). Anatomical results were analyzed using chi(2) and Fisher exact tests, and PFDI and PFIQ scores were analyzed using the Wilcoxon test.<bold>Results: </bold>With a median follow-up of 36months, the anatomic cure rate was 96%. Significant improvements were noted in POPQ-S scores after surgery (P<0.05). Stress urinary incontinence was cured in 73% of patients and improved in 15% of patients. The PFDI and PFIQ scores were improved (P<0.05). One mesh extrusion was observed. The rates of mesh contraction and new cases of dyspareunia were 31% and 13%, respectively.<bold>Conclusion: </bold>The transvaginal mesh hammock represents a useful treatment for recurrent and major vaginal vault prolapse, and has few complications.
- Subjects
HYSTERECTOMY; UTERINE prolapse; HEALTH outcome assessment; QUALITY of life; QUESTIONNAIRES; DYSPAREUNIA; TRANSVAGINAL ultrasonography
- Publication
International Journal of Gynecology & Obstetrics, 2010, Vol 109, Issue 2, p131
- ISSN
0020-7292
- Publication type
journal article
- DOI
10.1016/j.ijgo.2009.11.020