Posterior intravaginal slingplasty for vaginal prolapse

Jordaan, D. J.; Prollius, A.; Cronjé, H. S.; Nel, Mariëtte

doi:10.1007/s00192-005-0007-4

Cited by 37 publications

(28 citation statements)

References 8 publications

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“…The incidence of mesh erosion ranged from 0% to 10%. The earlier studies had fewer numbers of patients than our current study (42-44) [10][11][12]. A recent study by Neuman and Lavy reported on the follow-up of 140 patients and showed a 10% incidence of mesh erosion [12].…”

Section: Discussioncontrasting

confidence: 40%

Short-term efficacy and complications of posterior intravaginal slingplasty

et al. 2007

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This study was performed to evaluate the efficacy and complications of the posterior intravaginal slingplasty (IVS). A retrospective chart review was performed. Ninety IVS procedures were performed from January 2004 to June 2005. The group consisted of predominantly nonsmoking, Caucasian, postmenopausal women with a median age of 62 years and a median parity of 3. The mean follow-up was 33 +/- 23.2 weeks with a median of 31.9 weeks. There were no intraoperative bladder, bowel, or vascular injuries. Overall, 11 out of 90 patients developed recurrent or de novo prolapse; 4.4% of these had recurrent apical prolapse. There was a 17.8% incidence of mesh erosion. Only 1 of the 11 patients with recurrent prolapse had concomitant mesh erosion. The procedure demonstrated an unacceptably high erosion rate. The adoption of newer mesh techniques based on the slingplasty concept or the use of the multifilament polypropylene tape should be scrutinized.

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Section: Discussioncontrasting

confidence: 40%

Short-term efficacy and complications of posterior intravaginal slingplasty

et al. 2007

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“…In none of the studies were complications separately described for the subgroup of women in which the uterus was preserved. Therefore, for describing complications, we used data for women who underwent a posterior intravaginal slingplasty with and without preservation of the uterus [37][38][39][40][41][42][43][44][45][46][47].…”

Section: Study Selectionmentioning

confidence: 99%

“…Therefore, after cervical amputation, a risk of stenosis is present, which could influence the occurrence of alarming symptoms (vaginal blood loss) in the development of adenocarcinoma of the uterus. After a posterior intravaginal slingplasty (with and without preservation of the uterus) mesh erosion problems were reported in 0% to 21% of women [37][38][39][40][41][42][43][44][45][46][47]. Baessler et al described erosion problems in 13 women who were referred to their clinic after implantation of a multifilament mesh at other clinics [56].…”

Section: Surgical Proceduresmentioning

confidence: 99%

“…An illustration that [4,5,7,17,21,27,28,30,32,33] c References [18][19][20]34] d References [37][38][39][40][41][42][43][44][45][46][47] symptoms are not always associated with anatomical outcome is the recent study on the sacrospinous hysteropexy by Dietz et al in which women with and without a cystocele stage 2 or more described the same amount of bother on urogynecological symptoms [33]. For measuring these functional outcomes the use of validated disease-specific symptom and quality of life questionnaires is highly recommended [58].…”

Section: Anatomical Curementioning

confidence: 99%

“…After a posterior intravaginal slingplasty in women in which the uterus was removed, 5% of women reported dyspareunia symptoms after surgery [45].…”

Section: Sexual Functioningmentioning

confidence: 99%

See 2 more Smart Citations

Vaginal surgery for uterine descent; which options do we have? A review of the literature

2008

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Several vaginal procedures are available for treating uterine descent. Vaginal hysterectomy is usually the surgeon's first choice. In this literature review, complications, anatomical and symptomatic outcomes, and quality of life after vaginal hysterectomy, sacrospinous hysteropexy, the Manchester procedure, and posterior intravaginal slingplasty are described. All procedures had low complication rates, except posterior intravaginal slingplasty, with a tape erosion rate of 0-21%. Minimal anatomical success rates regarding apical support ranged from 85% and 93% in favor of the Manchester procedure. Data on symptomatic cure and quality of life are scarce. In studies comparing vaginal hysterectomy with sacrospinous hysteropexy or the Manchester procedure, vaginal hysterectomy had higher morbidity. Because no randomized, controlled trials have been performed comparing these surgical techniques, we can not conclude that one of the procedures prevails. However, one can conclude from the literature that vaginal hysterectomy is not the logical first choice.

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Gluteo-vaginal sinus formation complicating posterior intravaginal slingplasty followed by successful IVS removal. A case report and review of the literature

et al. 2007

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Posterior intravaginal slingplasty (IVS) is a technique used for the treatment of apical prolapse. Type III meshes have been mostly used with this technique. In this article, a case of bilateral gluteo-vaginal sinus tract formation that complicated a posterior vaginal slingplasty with a type III mesh is presented. At 3 months follow-up, the patient complained for bulking through the vagina, continuous offensive vaginal discharge, and constant pain at the buttocks. She had prolapse recurrence, and there was defective healing at the gluteal entry points of the posterior IVS. Ten months after the initial surgery, she underwent a laparotomic subtotal hysterectomy and sacrocervicopexy with prolene type I mesh. At the same time, the posterior mesh was removed allowing the surgeon to discover communication of the canal of the mesh extending from gluteal incisions to the vagina epithelium. The sinus tract was managed surgically with excision of the surrounding tissues. There was no recurrence or other complications at 2 months follow-up.

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Posterior intravaginal slingplasty for vaginal prolapse

Cited by 37 publications

References 8 publications

Short-term efficacy and complications of posterior intravaginal slingplasty

Short-term efficacy and complications of posterior intravaginal slingplasty

Vaginal surgery for uterine descent; which options do we have? A review of the literature

Gluteo-vaginal sinus formation complicating posterior intravaginal slingplasty followed by successful IVS removal. A case report and review of the literature

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