Modified McCall culdoplasty versus Shull suspension in pelvic prolapse primary repair: a retrospective study

Abstract

Both uterosacral ligament suspension procedures were shown to be safe and effective. There were no clinically significant differences with regard to surgical data, complications, anatomical, functional, and subjective outcomes between modified McCall culdoplasty and Shull suspension.

Risk factors for stress urinary incontinence after native‐tissue vaginal repair of pelvic organ prolapse

“…All women underwent vaginal hysterectomy and salpingectomy; bilateral oophorectomy was performed depending on the menopausal status and age of the patient, the oncologic risk, patient preference, and technical feasibility. After the hysterectomy, vaginal suspension was achieved through high USL suspension according to a previously described technique . Anterior repair was performed if indicated.…”

“…After the hysterectomy, vaginal suspension was achieved through high USL suspension according to a previously described technique. 13 Anterior repair was performed if indicated. No patient underwent a concomitant anti-incontinence procedure.…”

Long‐term outcomes and five‐year recurrence‐free survival curves after native‐tissue prolapse repair

“…Uterosacral ligaments (USLs) are considered valid and effective suspending structures for the apical repair of native tissue. In particular, this technique of apical suspension has been shown to be an effective and versatile mesh‐free surgical technique for primary repair, POP recurrence, and uterus‐sparing surgery . However, recurrence represents the main pitfall of repair of native tissue; many risk factors have been proposed including age and other population characteristics, obstetric history, advanced prolapse stage, histologic findings, and additional surgical procedures performed at the time of index surgery .…”

Transvaginal high uterosacral ligament suspension: An alternative to McCall culdoplasty in the treatment of pelvic organ prolapse

“…In the last few years, pelvic organ prolapse repair by transvaginal techniques with native tissues, has gained a renewed interest, especially after the recent updates about the safety and effectiveness of transvaginal placement of synthetic surgical mesh. Native tissues include structures of endopelvic fascia, such as the uterosacral ligaments, structures of the pelvic diaphragm: puborectalis, and iliococcygeus muscles and ligamentous structures: such as the sacrospinous ligament [1].…”