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Related Experiment Videos

Abdominal sacral colpopexy with prolene mesh.

M Schettini1, P Fortunato, M Gallucci

  • 1Department of Urology, Cristo Re Hospital, Rome, Italy.

International Urogynecology Journal and Pelvic Floor Dysfunction
|October 30, 1999
PubMed
Summary

Abdominal colposacropexy using Prolene mesh effectively treats vaginal vault prolapse. This surgical technique restores normal anatomy, offering a safe and successful solution for patients with pelvic organ prolapse.

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Area of Science:

  • Urogynecology
  • Pelvic Reconstructive Surgery

Background:

  • Pelvic organ prolapse, including vaginal vault prolapse and procidentia, significantly impacts women's quality of life.
  • Restoring normal anatomical support is crucial for effective prolapse management.

Purpose of the Study:

  • To evaluate the safety and efficacy of abdominal colposacropexy utilizing Prolene mesh for treating total vaginal vault prolapse or procidentia.

Main Methods:

  • Fifteen patients underwent abdominal colposacropexy between 1994 and 1997.
  • The procedure involved fixing the vaginal apex to the sacrum using Prolene mesh via a retroperitoneal tunnel.
  • Simultaneous Burch colposuspension was performed in 6 cases for urinary stress incontinence.

Main Results:

  • No intraoperative complications were reported.
  • All sexually active patients resumed normal sexual activity.
  • No infections or mesh rejections occurred during an average 15-month follow-up.

Conclusions:

  • Abdominal colposacropexy with Prolene mesh provides strong anatomical support for the vaginal vault.
  • This technique is a safe and effective surgical option for vaginal vault prolapse and procidentia.

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