Historically, posthysterectomy vaginal vault prolapse has been treated vaginally (sacrospinous fixation), abdominally (sacrocolpopexy), or by combined abdominopelvic procedures. Recently, interest has focused on less invasive laparoscopic approaches, but they require a high degree of skill. In 1997, Petros [1] proposed the infracoccygeal sacropexy (posterior intravaginal slingplasty) as an outpatient procedure based on the integral theory that he advocated. This report presents the results obtained with intravaginal slingplasty at the Vali-e-Between 2003 and 2004 a prospective study of the posterior IVS procedure was performed with 15 women. All patients had had clinical evidence of vault prolapse following hysterectomy (grades 3 and 4 with the pelvic organ prolapse quantification [POP-Q] system). Intraoperative and postoperative complications and associated symptoms such as urgency to urinate, nocturia, and pelvic pain were recorded using a previously validated questionnaire. Patients were followed up 1, 3, 6, and 18 months postoperatively.All procedures were performed by the same surgeon and polypropylene tape (Tyco Health care, USA) was used in all patients. The mean age of patients was 67 years (50-81 years) and operative time was 30 min (20-40 min). Mean intraoperative blood loss was less than 130 mL. All patients were discharged within 24 h of surgery.To assess results the patients answered a questionnaire and were requested to strain while being examined in a semi-recumbent position. When the 0020-7292/$ -see front matter D
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.