Related Experiment Video
Updated: Jun 5, 2026
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Posterior intravaginal slingplasty: efficacy and complications in a continuous series of 118 cases
Stefano Cosma1, Mario Preti, Marco Mitidieri
1Department of Gynecology and Obstetrics, University of Turin, Turin, Italy. cosmastefano@libero.it
Introduction And Hypothesis:
Posterior intravaginal slingplasty (PIVS) is a minimally invasive procedure that aims to suspend vaginal vault. Our study evaluated efficacy and complications of PIVS at long-term follow-up.
Methods:
One hundred eighteen consecutive women underwent PIVS operation for Pelvic Organ Prolapse Quantification stage 3 or 4 vaginal cuff prolapse (VCP; 25 patients) or utero-vaginal prolapse (UVP; 93 patients). Apical vaginal wall at stage 0 or 1 was considered as cured.
Results:
Follow-up mean duration was 58.6 months (range, 24-84 months). The success rate of PIVS was 96.6%. Some 8.5% mesh erosion (20% in patients with VCP and 5.4% with UVP), 2.5% vaginal-perineal fistula, and 3.4% paravaginal hematoma occurred. Neither erosion nor fistulas occurred with monofilament polypropylene mesh.
Conclusion:
PIVS seems a safe and effective procedure for VCP and UVP. Vaginal erosion was mainly observed in patients with VCP treated with multifilament polypropylene mesh.
