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[Prolapse surgery through the vagina with the help of Endo Stitch. Technical note and preliminary study]
R Rouzier1, A Girousse, S Barakat
1Service de Gynécologie-Obstétrique, Hôpital René-Dubos, Pontoise.
Objective:
Vaginal cure of genitourinary prolapses is a reliable technique. We propose a technical simplification: the use of the laparoscopic suturing instrument Endo Stitch. Bladder neck suspension can be performed in this way without supra-pubic incision. Sacrospinous suspension is sometimes difficult with a risk of sciatic nerve, pudendal artery or rectum trauma. This is also performed more easily using Endo Stitch.
Subjects And Methods:
Twenty patients with genitourinary prolapse were treated by one surgeon using the Endo Stitch. The patients were followed for 6 to 18 months.
Results:
No per- or postoperative complications attributable to the use of Endo Stitch were encountered. With two recurrent genital prolapses and one persistent urinary stress incontinence, anatomic and functional results seem to be similar to reference series, but must be confirmed with more follow-up.