Perioperative performance of a new Pelvic Organ Prolapse Suspension (POPS) for vaginal vault prolapse

Objective. Our aim was to study the efficacy of transvaginal bilateral sacrospinous fixation (TBSF) and its impact on quality of life (QoL) and sexual functions in women affected by second recurrences of vaginal vault prolapse (VVP). Materials and Methods. We performed a prospective observational study on 20 sexually active patients affected by second recurrence of VVP, previously treated with monolateral sacrospinous fixation. TBSF was performed in all the patients. They had been evaluated before the surgery and at 12-month follow-up through pelvic organ prolapse quantification (POP-Q) system, Short Form-36 (SF-36), and Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). Results. At 12-month follow-up, 18 out of 20 (90%) patients were cured of their recurrent VVP. No major intra- and postoperative complications occurred. We found a significant improvement in 4/5 POP-Q landmarks (excluding total vaginal length), SF-36, and PISQ-12 scores. Conclusion. According to our data analysis, TBSF appears to be safe, effective, and able to improve both QoL and sexual functions in patients affected by second recurrence of VVP after previous monolateral sacrospinous fixation.

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Laparoscopic Management of Vaginal Vault Prolapse Recurring After Pelvic Organ Prolapse Surgery

Videoscopy ◽

10.1089/vor.2015.0304 ◽

2016 ◽

Author(s):

Luigi Mearini ◽

Elisabetta Nunzi ◽

Manuel Di Biase ◽

Elisabetta Costantini

Keyword(s):

Pelvic Organ Prolapse ◽

Pelvic Organ ◽

Vaginal Vault Prolapse ◽

Vaginal Vault ◽

Prolapse Surgery ◽

Vault Prolapse ◽

Laparoscopic Management ◽

Pelvic Organ Prolapse Surgery

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Urosepsis and hydronephrosis secondary to vaginal vault prolapse: A case report

Journal of Clinical Urology ◽

10.1177/20514158211002708 ◽

2021 ◽

pp. 205141582110027

Author(s):

Athul John ◽

Yang Li ◽

Andrew Shepherd ◽

Mark Lloyd ◽

Li Lian Kuan

Keyword(s):

Case Report ◽

Pelvic Organ Prolapse ◽

Older Women ◽

Early Recognition ◽

Pelvic Organ ◽

Vaginal Vault Prolapse ◽

Vaginal Vault ◽

Common Condition ◽

Vault Prolapse ◽

Level Of Evidence

Pelvic organ prolapse (POP) is a common condition affecting older women. POP can cause hydronephrosis in some patients. Although rare, especially in the subset of patients with vaginal vault prolapse, unrecognized obstructive hydronephrosis can result in renal impairment and urosepsis. We present a case of a 69-year-old female with obstructive urosepsis on a background of vaginal vault prolapse. The case highlights the importance of early recognition and intervention of obstructive urosepsis in patients with severe POP disease. Level of evidence: Not applicable for this multicentre audit.

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Laparoscopic Management of Vaginal Vault Prolapse Recurring after Pelvic Organ Prolapse Surgery

Urologia Internationalis ◽

10.1159/000443337 ◽

2016 ◽

Vol 97 (2) ◽

pp. 158-164 ◽

Cited By ~ 3

Author(s):

Luigi Mearini ◽

Elisabetta Nunzi ◽

Manuel Di Biase ◽

Elisabetta Costantini

Keyword(s):

Pelvic Organ Prolapse ◽

Pelvic Organ ◽

Vaginal Vault Prolapse ◽

Vaginal Vault ◽

Prolapse Surgery ◽

Vault Prolapse ◽

Laparoscopic Management ◽

Pelvic Organ Prolapse Surgery

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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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