scholarly journals Current surgical techniques to improve pelvic organ prolapse and incontinence

2020 ◽  
Vol 3 ◽  
pp. 31-31
Author(s):  
Gokhan Sami Kilic
Keyword(s):  
Pelvic Organ Prolapse ◽  
Surgical Techniques ◽  
Pelvic Organ

Pelvic Organ Prolapse IV: Surgical Options

2021 ◽  
Author(s):  
Veronica Demtchouk ◽  
Peter Rosenblatt
Keyword(s):  
Pelvic Organ Prolapse ◽  
Surgical Techniques ◽  
Pelvic Organ ◽  
Uterosacral Ligament ◽  
Synthetic Mesh ◽  
Sacrospinous Ligament ◽  
The Past ◽  
Time Period ◽  
Surgical Options ◽  
Invasive Techniques

Pelvic organ prolapse is a common gynecologic condition, with increasing number of women electing for surgical intervention over conservative management with pessaries and pelvic floor physical therapy. Over the past decade, minimally invasive techniques using laparoscopic and vaginal approaches have largely replaced open abdominal surgery. However, this time period has also seen the challenges and limitations of using synthetic mesh materials in urogynecologic procedures. This publication provides a background for the most common and successful surgical techniques to treat pelvic organ prolapse and briefly reviews key anatomy and surgical steps. This review contains 3 figures, 3 tables, and 101 references. Key words: anterior colporrhaphy, colpocleisis, hysteropexy, mesh, pelvic organ prolapse, perineorrhaphy, posterior colporrhaphy, sacrocervicopexy, sacrocolpopexy, sacrospinous ligament suspension, uterosacral ligament suspension

scholarly journals A new technique of laparoscopic fixation of the uterus to the anterior abdominal wall with the use of overfascial mesh in the treatment of pelvic organ prolapse

2020 ◽  
Vol 31 (10) ◽  
pp. 2165-2167
Author(s):  
Jakub Śliwa ◽  
Anna Kryza-Ottou ◽  
Aleksandra Zimmer-Stelmach ◽  
Mariusz Zimmer
Keyword(s):  
Pelvic Organ Prolapse ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Surgical Techniques ◽  
Genital Prolapse ◽  
Pelvic Organ ◽  
New Technique ◽  
Advanced Stages ◽  
A New Technique ◽  
Live Action

Abstract Introduction and hypothesis Pelvic organ prolapse is one of the most common pathological conditions in postmenopausal women. There is still a lack of fully effective and safe surgical techniques, especially in the advanced stages of apical defects. The purpose of the video is to present a new technique of laparoscopic treatment in women with an advanced stage of genital prolapse, stage III and IV according to the POP-Q scale. The technique involves uterine fixation for the anterior abdominal wall using overfascial mesh. Methods We used a live-action surgical demonstration to describe laparoscopic fixation of the uterus to the anterior abdominal wall with the use of overfascial mesh. Results This video provides a step-by-step approach to laparoscopic fixation of the uterus to the anterior abdominal wall with the use of overfascial mesh. The video can be used to educate and train those performing female pelvic reconstructive surgery. Conclusions Based on our experience, this technique of laparoscopic suspension of the uterus to the anterior abdominal wall with the use of overfascial mesh is an effective, safe, and easy procedure for the treatment of advanced stages of pelvic organ prolapse.

scholarly journals Colpocleisis as an obliterative surgery for pelvic organ prolapse: is it still a viable option in the twenty-first century? Narrative review

2021 ◽  
Author(s):  
Magdalena Emilia Grzybowska ◽  
Konrad Futyma ◽  
Aida Kusiak ◽  
Dariusz Grzegorz Wydra
Keyword(s):  
Urinary Tract ◽  
Pelvic Organ Prolapse ◽  
Surgical Techniques ◽  
Pelvic Organ ◽  
First Century ◽  
Complication Rates ◽  
Decision Regret ◽  
Sling Surgery ◽  
Subjective Success ◽  
Stage 1

Abstract Introduction and hypothesis The aims were to review the literature from the last two decades and analyze treatment efficacy and findings of the studies on colpocleisis. Methods A systematic search was conducted within the MEDLINE/PubMed and ClinicalTrials.gov databases, using the following keywords: pelvic organ prolapse (POP), colpocleisis, obliterative, and LeFort. All English full-text prospective and retrospective observational and interventional studies were included. Anatomical and subjective success, surgical techniques, concomitant procedures, complication rates, anesthesia methods, and decision regret were analyzed. Results A total of 237 papers were identified and 49 met the inclusion criteria. Mean patient age was 69.0 ± 8.0 to 84 ± 3.1. Over 90.2% of patients undergoing colpocleisis were diagnosed with POP stage ≥ 3. The follow-up ranged from 30 days to a median of 5 years. Anatomical success, defined as POP-Q stage ≤ 1 and no prolapse beyond the hymen, was achieved in 62.5 to 100% and 87.5 to 100% of all patients respectively. Subjective success ranged from 88% to 100%. Regret over the loss of coital ability ranged from 0% in many studies to 12.9%, general decision regret from 0% to 13.8%. After concomitant midurethral sling surgery, 86.8% to 94% of all patients were continent, with a 0–14% sling revision rate due to urinary retention. Urinary tract infection was the most common postoperative complication (4.3 to 9% confirmed with urine culture, 34.7% based on symptom definition). Bowel (0 to 2.7%) and urinary tract (0 to 9.1%) injuries were the consequences of concomitant procedures. The mortality rates were up to 1.3%. Conclusions Colpocleisis is a heterogeneous procedure, characterized by high subjective and objective success, low coital ability regret, and a low risk of complications.

V478: POP-Q Based Staging and Outcomes of Robotic Abdominal Sacrocolpopexy for Advanced Pelvic Organ Prolapse

2007 ◽  
Vol 177 (4S) ◽  
pp. 160-160
Author(s):  
Sarah E. McAchran ◽  
John C. Kefer ◽  
Courtenay Moore ◽  
Jihad H. Kaouk ◽  
Firouz Daneshgari
Keyword(s):  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Advanced Pelvic Organ Prolapse ◽  
Abdominal Sacrocolpopexy

HUBUNGAN ANTARA USIA, PARITAS, PEKERJAAN DAN INDEK MASSA TUBUH DENGAN KEJADIAN PROLAP ORGAN PANGGUL BERDASARKAN SKOR PELVIC ORGAN PROLAPSE QUANTIFICATION

2019 ◽  
Vol 2 (1) ◽  
pp. 39-44
Author(s):  
Ermawati Ermawati ◽  
Hafni Bachtiar
Keyword(s):  
Pelvic Organ Prolapse ◽  
Case Control Study ◽  
Pelvic Organ ◽  
Case Control ◽  
T Test ◽  
Pelvic Organ Prolapse Quantification ◽  
Chi Square ◽  
Chi Square Test ◽  
Control Study

Prolap organ panggul merupakan kondisi yang mempengaruhi kualitas hidup wanita. Prolaps organ panggul ini dapat disebabkan oleh perlukaan sewaktu proses persalinan, proses penuaan, komposisi jaringan pada seorang wanita, batuk- batuk kronis, atau sering melakukan pekerjaan berat. Pengenalan dini prolaps terkait dengan prognosis pemulihan anatomik dan fungsional organ panggul. Hingga kini, penerapannya dalam dunia klinis belum banyak sehingga pelatihan dan pembelajaran lebih lanjut tentang pelvic organ prolapse quantification (POPQ) jelas diperlukan. Penelitian ini dilakukan dengan metode case control study di polikilinik Obgin RSUP. Dr. M. Djamil Padang mulai bulan September 2013 sampai jumlah sampel terpenuhi sebanyak 98 orang. Dengan 49 orang kelompok kontrol dan 49 orang kelompok kasus .Analisis dilakukan untuk menilai hubungan usia, paritas, pekerjaan dan indek massa tubuh dengan kejadian prolap organ panggul berdasarkan skor POPQ. Data disajikan dalam bentuk tabel. Data diuji dengan t test dan chi square test. Jika p<0,05 menunjukan hasil yang bermakna. Terdapat hubungan yang bermakna antara usia dengan kejadian prolap organ panggul dengan (p<0,05) dan OR 27,871.terdapat hubungan yang bermakna antara paritas dengan kejadian prolap organ panggul dengan (p<0,05) dan OR 52,970.Dari analisa statistik pekerjaan tidak bisa di uji secara statistik.indek massa tubuh tidak terdapat hubungan yang bermakna terhadap kejadian prolap organ panggul.(p>0,05)

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