Document Detail

Posterior intravaginal slingplasty: efficacy and complications in a continuous series of 118 cases.
MedLine Citation:
PMID:  21234547     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION AND HYPOTHESIS: Posterior intravaginal slingplasty (PIVS) is a minimally invasive procedure that aims to suspend vaginal vault. Our study evaluated efficacy and complications of PIVS at long-term follow-up.
METHODS: One hundred eighteen consecutive women underwent PIVS operation for Pelvic Organ Prolapse Quantification stage 3 or 4 vaginal cuff prolapse (VCP; 25 patients) or utero-vaginal prolapse (UVP; 93 patients). Apical vaginal wall at stage 0 or 1 was considered as cured.
RESULTS: Follow-up mean duration was 58.6 months (range, 24-84 months). The success rate of PIVS was 96.6%. Some 8.5% mesh erosion (20% in patients with VCP and 5.4% with UVP), 2.5% vaginal-perineal fistula, and 3.4% paravaginal hematoma occurred. Neither erosion nor fistulas occurred with monofilament polypropylene mesh.
CONCLUSION: PIVS seems a safe and effective procedure for VCP and UVP. Vaginal erosion was mainly observed in patients with VCP treated with multifilament polypropylene mesh.
Stefano Cosma; Mario Preti; Marco Mitidieri; Paolo Petruzzelli; Federica Possavino; Guido Menato
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Publication Detail:
Type:  Evaluation Studies; Journal Article     Date:  2011-01-14
Journal Detail:
Title:  International urogynecology journal     Volume:  22     ISSN:  1433-3023     ISO Abbreviation:  Int Urogynecol J     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-04-08     Completed Date:  2011-07-28     Revised Date:  2011-08-18    
Medline Journal Info:
Nlm Unique ID:  101567041     Medline TA:  Int Urogynecol J     Country:  England    
Other Details:
Languages:  eng     Pagination:  611-9     Citation Subset:  IM    
Department of Gynecology and Obstetrics, University of Turin, Turin, Italy.
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MeSH Terms
Aged, 80 and over
Follow-Up Studies
Gynecologic Surgical Procedures / instrumentation*,  methods*
Middle Aged
Pelvic Organ Prolapse / surgery*
Quality of Life
Retrospective Studies
Suburethral Slings* / adverse effects
Surgical Instruments
Surgical Procedures, Minimally Invasive / instrumentation,  methods
Treatment Outcome

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