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Author Spotlight: Advancing Pelvic Prolapse Treatment with a Non-Mesh Approach using Laparoscopic Pectopexy
Published on: October 25, 2024
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Review of Vaginal Approaches to Apical Prolapse Repair
Lannah L Lua-Mailland1, Shannon L Wallace2, Fatima A Khan3
1Section of Urogynecology and Reconstructive Pelvic Surgery, Obstetrics/Gynecology and Women's Health Institute, Cleveland Clinic, 9500 Euclid Avenue, A81, Cleveland, OH, 44195, USA. lual@ccf.org.
Current Urology Reports
|November 10, 2022
Summary
Transvaginal apical prolapse repair offers long-term symptom relief and improved quality of life. While anatomical recurrence rates can be high, subjective outcomes remain positive, demonstrating the procedure
Area of Science:
- Urogynecology
- Pelvic Floor Surgery
Background:
- Apical prolapse significantly impacts women's quality of life.
- Vaginal surgical approaches are a common treatment for apical prolapse.
Purpose of the Study:
- To review recent literature on vaginal apical prolapse surgery.
- To provide updated knowledge on new findings in this surgical area.
Main Methods:
- Literature review of recent studies.
- Analysis of outcomes from transvaginal apical prolapse repair.
Main Results:
- Prolapse recurrence rates range from 13.7% to 70.3% in medium- to long-term follow-up.
- Reoperation rates for prolapse recurrence are lower (1% to 35%).
- Over 80% of patients report improved prolapse symptoms and quality of life 2-3 years post-surgery, irrespective of uterine preservation.
Conclusions:
- Transvaginal apical prolapse repair is safe and effective.
- Long-term subjective improvements in symptoms and quality of life are achieved despite increasing anatomic failure rates.
- Subjective outcomes do not correlate with anatomic outcomes.
