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Posterior intravaginal slingplasty for vaginal prolapse.
D J Jordaan1, A Prollius, H S Cronjé
1Departments of Obstetrics and Gynecology, University of the Free State, Bloemfontein, South Africa. do-jo@mweb.co.za
International Urogynecology Journal and Pelvic Floor Dysfunction
|September 28, 2005
Summary
The posterior intravaginal slingplasty (IVS) showed a 75% improvement for vault prolapse. While effective for posterior compartment prolapse, its impact on recurrent prolapse and defecation issues requires further study.
Area of Science:
- Urogynecology
- Pelvic Floor Surgery
Background:
- Pelvic organ prolapse (POP) affects many women, impacting quality of life.
- Posterior compartment prolapse often requires surgical intervention.
Purpose of the Study:
- To evaluate the efficacy and outcomes of the posterior intravaginal slingplasty (IVS) procedure.
- To assess the impact of IVS on vault and posterior compartment prolapse.
Main Methods:
- Retrospective analysis of 42 patients undergoing posterior IVS.
- All patients also had posterior colporrhaphy, with 88% receiving mesh in the rectovaginal space.
- Follow-up median of 13 months.
Main Results:
- One intraoperative rectal perforation occurred.
- Recurrent prolapse (grade 3-4) occurred in 29% of patients.
- A 75% improvement was observed for vault prolapse, with only 2 of 8 initially presenting patients experiencing recurrence.
Conclusions:
- Posterior IVS provides satisfactory results for vault and posterior compartment prolapse.
- The study could not isolate the effects of IVS from posterior colporrhaphy on recurrent prolapse or defecation.
- No conclusions on anterior compartment prolapse could be drawn due to concurrent procedures.