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The levator myorraphy repair for vaginal vault prolapse
G E Lemack1, P E Zimmern, D S Blander
1Department of Urology, University of Texas-Southwestern Medical Center, Dallas, Texas, USA. gary.lemack@email.swmed.edu
Urology
|December 15, 2000
Summary
Levator myorraphy offers a simplified, effective surgical repair for vaginal vault prolapse after hysterectomy. This minimally invasive vaginal approach restores pelvic floor anatomy and prevents recurrence, with over 120 women treated successfully.
Area of Science:
- Urogynecology
- Pelvic reconstructive surgery
Background:
- Vaginal vault prolapse is a common complication after hysterectomy.
- Sacrospinous fixation, a traditional repair method, presents inherent surgical difficulties.
Purpose of the Study:
- To introduce and evaluate the levator myorraphy technique for pelvic floor reconstruction.
- To assess the efficacy and safety of levator myorraphy in treating vaginal vault prolapse.
Main Methods:
- Levator myorraphy, a novel surgical approach, was developed to simplify pelvic floor reconstruction.
- The procedure involves recreating the levator shelf and fixing the vaginal vault within the peritoneal cavity.
- The technique is performed via a vaginal approach to minimize patient morbidity.
Main Results:
- Over a 10-year period, levator myorraphy was performed in over 120 women.
- The procedure successfully restored the vaginal axis and prevented posterior enterocele recurrence.
- The technique demonstrated a high success rate and minimal associated morbidity.
Conclusions:
- Levator myorraphy is an effective and easily teachable method for vaginal vault prolapse repair.
- This approach closely restores normal pelvic floor anatomy.
- The vaginal approach minimizes surgical morbidity, offering a favorable alternative to existing techniques.