Document Detail


Infracoccygeal sacropexy for uterovaginal prolapse.
MedLine Citation:
PMID:  18926533     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To report on the efficacy and safety of infracoccygeal sacropexy for the treatment of uterovaginal prolapse. METHOD: A retrospective analysis of 87 women who underwent an infracoccygeal sacropexy procedure, 53 receiving a multifilament and 34 receiving a monofilament tape. RESULTS: The mean follow-up was 27 months. Postoperative perineal pain was reported by 7 women (10%), and dyschesia and dyspareunia were observed de novo in 4 (5%) and 5 women (6%), respectively. There were 5 cases (9%) of vaginal extrusion and 9 cases (18%) of prolapse recurrence in the multifilament tape group, and in the monofilament tape group there were no cases of vaginal extrusion and 4 cases (14%) of prolapse recurrence (P=0.79 for prolapse recurrence). The recurrence-free survival curves of the 2 groups were similar. Univariate analysis revealed no independent factors of recurrence. CONCLUSION: Although infracoccygeal sacropexy was found to be associated with few prolapse recurrences, complications were not rare.
Authors:
Xavier Deffieux; Krystel Desseaux; Renaud de Tayrac; Erika Faivre; René Frydman; Hervé Fernandez
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Publication Detail:
Type:  Journal Article     Date:  2008-10-15
Journal Detail:
Title:  International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics     Volume:  104     ISSN:  0020-7292     ISO Abbreviation:  Int J Gynaecol Obstet     Publication Date:  2009 Jan 
Date Detail:
Created Date:  2008-12-16     Completed Date:  2009-04-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0210174     Medline TA:  Int J Gynaecol Obstet     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  56-9     Citation Subset:  IM    
Affiliation:
Université Paris-Sud, Unité mixte de recherche (UMR) S0782, Clamart, France. xavier.deffieux@abc.aphp.fr
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MeSH Terms
Descriptor/Qualifier:
Aged
Disease-Free Survival
Female
Follow-Up Studies
Gynecologic Surgical Procedures / adverse effects,  methods*
Humans
Middle Aged
Retrospective Studies
Suburethral Slings / adverse effects*
Urologic Surgical Procedures / adverse effects*,  methods
Uterine Prolapse / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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