Efficacy and 9 years' follow-up of posterior intravaginal slingplasty for genital prolapse

The effectiveness, tolerability and complications of two surgical procedures using prosthetic materials with different physical and structural properties were assessed with a full Urogynecology work-up, through a retrospective study of 158 patients with severe genital prolapse (POP-Q staging III-IV) selected from November 2006 to April 2009. Eighty-six patients underwent fascial replacement surgery with ProliftTM System with a dual transobturator access in the anterior district and a transperineal posterior access with a synthetic polypropylene type I mesh (Group A). Seventy-two patients who underwent pelvic organ prolapse surgery with Avaulta/Avaulta PlusTM System with a dual transobturator access in the anterior district and a dual transperineal posterior access with a biosynthetic polypropylene type I mesh coated with a film of hydrophilic porcine collagen were placed in Group B. There were no intra and postoperative complications. Results of mean 20.8 month follow-up showed an effective anatomical cure rate of 89.5% in group A and 86.1% in group B and a low percentage of erosive complications, 8.1% and 5.6% respectively. Validated questionnaires for prolapse, the UDI 6 s.f., the IIQ7 s.f. and the PISQ-12 all showed a statistically significant improvement of quality of life in patients undergoing the two procedures (Wilcoxon test: P<0.001).

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EXPERIENCE OF USING SYNTHETIC PROSTHESES PROLIFT ® (GYNECARE) FOR CORRECTION OF GENITAL PROLAPSE

Clinical Practice ◽

10.17816/clinpract1332-37 ◽

2010 ◽

Vol 1 (3) ◽

pp. 32-37

Author(s):

S A Levakov ◽

N S Wanke ◽

O R Shablovskiy ◽

A G Kedrova ◽

V N Shirshov ◽

...

Keyword(s):

Pelvic Organ Prolapse ◽

Prospective Observational Study ◽

Vaginal Surgery ◽

Genital Prolapse ◽

Pelvic Organ ◽

Safe Procedure ◽

Prolapse Repair ◽

Specific Outcome ◽

One Year

The aim was to evaluated anatomical and symptom specific outcome measures of prolapse repair with PROLIFT ® (Gynecare). In this longitudinal prospective observational study we collected data on a total of 85 women with pelvic organ prolapse stage 2 or more. Objective success rate was 85.9% at 6 months respectively. Patients required a blood more 500 ml - 7,1% and need transfusion. The mesh erosion rate or the displacement of the mesh were 3,5%. Vaginal surgery with prolift mesh® is an effective and safe procedure to correct pelvic organ prolapse over one year follow up.

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Aggressive angiomyxoma of the perineal region

SAGE Open Medical Case Reports ◽

10.1177/2050313x19843391 ◽

2019 ◽

Vol 7 ◽

pp. 2050313X1984339 ◽

Cited By ~ 1

Author(s):

Clémence Raptin ◽

Jean-Philippe Lucot ◽

Alfred Bassil ◽

Edouard Poncelet ◽

Jean-François Prolongeau ◽

...

Keyword(s):

Case Report ◽

Surgical Treatment ◽

High Risk ◽

Genital Prolapse ◽

Aggressive Angiomyxoma ◽

Rare Tumour ◽

Long Term Follow Up ◽

Perineal Region

Aggressive angiomyxoma is a rare tumour that frequently involves the perineal region with a high risk of local recurrence. This is a case report of a 24-year-old female patient with a genital prolapse. We performed a surgical treatment. Histological examination found an aggressive angiomyxoma. The tumour recurred 1 year after surgery. Long-term follow-up is necessary.

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Combined genital prolapse repair reinforced with a polypropylene mesh and tension-free vaginal tape in women with genital prolapse and stress urinary incontinence: a retrospective case-control study with short-term follow-up

Acta Obstetricia Et Gynecologica Scandinavica ◽

10.1080/j.0001-6349.2004.00499.x ◽

2004 ◽

Vol 83 (10) ◽

pp. 950-954 ◽

Cited By ~ 11

Author(s):

Renaud de Tayrac ◽

Amelie Gervaise ◽

Aurelia Chauveaud-Lambling ◽

Herve Fernandez

Keyword(s):

Urinary Incontinence ◽

Stress Urinary Incontinence ◽

Case Control Study ◽

Genital Prolapse ◽

Case Control ◽

Short Term ◽

Retrospective Case ◽

Prolapse Repair ◽

Control Study

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Combined genital prolapse repair reinforced with a polypropylene mesh and tension-free vaginal tape in women with genital prolapse and stress urinary incontinence: a retrospective case-control study with short-term follow-up

Acta Obstetricia Et Gynecologica Scandinavica ◽

10.1111/j.0001-6349.2004.00499.x ◽

2004 ◽

Vol 83 (10) ◽

pp. 950-954 ◽

Cited By ~ 65

Author(s):

Renaud De Tayrac ◽

Amelie Gervaise ◽

Aurelia Chauveaud-Lambling ◽

Herve Fernandez

Keyword(s):

Urinary Incontinence ◽

Stress Urinary Incontinence ◽

Case Control Study ◽

Genital Prolapse ◽

Case Control ◽

Short Term ◽

Retrospective Case ◽

Prolapse Repair ◽

Control Study

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Posterior Intravaginal Slingplasty versus Unilateral Sacrospinous Ligament Fixation in Treatment of Vaginal Vault Prolapse

ISRN Obstetrics and Gynecology ◽

10.1155/2013/958670 ◽

2013 ◽

Vol 2013 ◽

pp. 1-5 ◽

Cited By ~ 3

Author(s):

Virva Nyyssönen ◽

Anne Talvensaari-Mattila ◽

Markku Santala

Keyword(s):

Pelvic Organ ◽

Vaginal Vault Prolapse ◽

University Hospital ◽

Vaginal Vault ◽

Sacrospinous Ligament ◽

Vault Prolapse ◽

Sacrospinous Ligament Fixation ◽

Exact Test ◽

Intravaginal Slingplasty

Objective. To investigate the differences in efficacy, postoperative complications, and patient satisfaction between posterior intravaginal slingplasty (PIVS) and unilateral sacrospinous ligament fixation (SSLF) procedures. Study Design. A retrospective study of thirty-three women who underwent PIVS or SSLF treatment for vaginal vault prolapse in Oulu University Hospital. The patients were invited to a follow-up visit to evaluate the objective and subjective outcomes. Median follow-up time was 16 months (range 6–52). The anatomical outcome was detected by the Pelvic Organ Prolapse Quantification (POP-Q) system. Information on urinary, bowel, and sexual dysfunctions and overall satisfaction was gathered with specific questionnaire. The data were analyzed using Mann-Whitney U test and Fisher’s exact test. Results. Mesh erosion was found in 4 (25%) patients in the PIVS group. Anatomical stage II prolapse or worse (any POP-Q point ≥−1) was detected in 8 (50%) patients in the PIVS group and 9 (53%) patients in the SSLF group. Overall satisfaction rates were 62% and 76%, respectively. Conclusion. The efficacy of PIVS and SSLF is equally poor, and the rate of vaginal erosion is intolerably high with the PIVS method. Based on our study, we cannot recommend the usage of either technique in operative treatment of vaginal vault prolapse.

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