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Colposacrosuspension for severe genital prolapse
1Department of Obstetrics and Gynecology, University of the Free State, Bloemfontein, South Africa. gnoghsc@med.uovs.ac.za
Summary
Colposacrosuspension with mesh interposition offers good short-term outcomes for severe genital prolapse. However, this major surgery may not be suitable for elderly or medically compromised patients.
Area of Science:
- Urogynecology
- Pelvic reconstructive surgery
Background:
- Severe genital prolapse significantly impacts quality of life.
- Surgical management aims to restore pelvic anatomy and function.
Purpose of the Study:
- To evaluate the efficacy and safety of colposacrosuspension with mesh interposition and modified Burch colposuspension for severe genital prolapse.
Main Methods:
- A descriptive study involving 140 patients with severe genital prolapse.
- Surgical procedure included colposacrosuspension with mesh (Vypro) and modified Burch colposuspension.
- Follow-up at 6 weeks, 6 months, and annually.
Main Results:
- 97% of patients followed for a median of 8.5 months.
- 8% experienced recurrent prolapse (grade 2 or 3).
- 12% developed new-onset urinary incontinence requiring further treatment.
Conclusions:
- Colposacrosuspension with mesh provides satisfactory short-term results for severe genital prolapse.
- It is a major procedure, and less invasive options may be better for elderly or compromised patients.