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Transvaginal culdosuspension: technique and results
C V Comiter1, S P Vasavada, S Raz
1Department of Urology, University of California, Los Angeles, USA.
Urology
|November 24, 1999
Summary
Transvaginal culdosuspension effectively treats enterocele and vaginal vault prolapse. This procedure restores vaginal depth and axis, ensuring sexual function and preventing recurrence.
Area of Science:
- Gynecology
- Pelvic Reconstructive Surgery
Background:
- Enterocele and vaginal vault prolapse are common gynecological conditions.
- Existing surgical techniques for repair have varied success rates and potential complications.
Purpose of the Study:
- To describe and evaluate a transvaginal culdosuspension technique.
- To assess the safety and efficacy of this method in treating enterocele and vaginal vault prolapse.
Main Methods:
- One hundred four patients underwent transvaginal culdosuspension with enterocele repair, vaginal hysterectomy, or both.
- The technique involves suturing the vaginal vault to the levator plate and obliterating the cul-de-sac.
- Concomitant prolapse repairs were performed in a majority of patients.
Main Results:
- Follow-up in 100 patients (mean 17.3 months) showed a low recurrence rate (4%).
- All patients with preoperative stress incontinence were cured.
- Complications were rare, with no instances of vaginal foreshortening, urinary retention, or fistula.
Conclusions:
- Transvaginal culdosuspension is a safe and effective surgical option.
- The procedure successfully treats and prevents enterocele and vaginal vault prolapse.
- It restores normal vaginal anatomy and function, including sexual activity.