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Colpopexy: a modification of Shaw's technique
S Karpathios1, A Liapis, M Phylaktou
1Department of Obstetrics and Gynaecology, Alexandra General Hospital, Athens, Greece.
Summary
Colpopexy utilizing autograft effectively treats vaginal vault prolapse after hysterectomy. This surgical method resolved pelvic symptoms in all patients, restoring vaginal function with minimal short-term complications.
Area of Science:
- Gynecologic Surgery
- Pelvic Reconstructive Surgery
Background:
- Post-hysterectomy vaginal vault prolapse is a common complication.
- Uterine prolapse with ovarian pathology presents unique surgical challenges.
Purpose of the Study:
- To evaluate the efficacy of autograft colpopexy for vaginal vault prolapse.
- To assess outcomes in patients with concurrent uterine prolapse and ovarian pathology.
Main Methods:
- A modified Shaw's colpopexy procedure using autograft was performed.
- The surgery was combined with posterior colporrhaphy.
- Thirty-five patients with vaginal vault or uterine prolapse underwent the procedure.
Main Results:
- All 35 patients achieved symptom resolution (urinary/pelvic).
- A functional vagina was restored in all patients.
- A 48-60 month follow-up confirmed sustained efficacy.
Conclusions:
- Autograft colpopexy is a highly effective treatment for post-hysterectomy vaginal vault prolapse.
- The procedure offers a durable solution with a high success rate.
- The technique is suitable for complex cases involving uterine prolapse and ovarian pathology.