Document Detail


Treatment of vaginal vault prolapse with abdominal sacral colpopexy using prolene mesh.
MedLine Citation:
PMID:  10773148     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: We report our experience of abdominal sacral colpopexy (ASC) with a prolene mesh in women with total vaginal vault prolapse. MATERIALS AND METHODS: From 1994 to 1997, 15 patients (average age 57 years), underwent ASC. All the patients suffered from a serious vaginal vault prolapse. Eight of them also had a uterine prolapse. Seven patients had already been operated on for hysterectomy (5 vaginal, 2 abdominal), and 4 of them had already undergone an operation for urinary incontinence (3 Raz, 1 Burch). In 6 cases ASC was associated with a colposuspension in accordance with Burch. Average follow-up was 20 months. RESULTS: All the patients carried a bladder catheter for 4 to 12 days (mean 5). The 11 patients who were sexually active began having normal sexual intercourse again. Neither relapses of the treated prolapses nor infection or rejections of the prostheses occurred. In 1 patient frequent micturition unresponsive to anticholinergics persisted. Four patients presented with hypogastric "sense of heaviness," with no clinical evidence of any pathology. CONCLUSION: ASC with a prolene net is confirmed as the most valid technique, with no complications, in the treatment of total vaginal vault prolapse, above all when there is also the need for other operations via the abdomen at the same time (colposuspension, culdoplasty, and so forth), or when the vagina is too short to fix the sacrospinal ligament transvaginally.
Authors:
M Diana; Zoppe C; B Mastrangeli
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  179     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  2000 Feb 
Date Detail:
Created Date:  2000-08-30     Completed Date:  2000-08-30     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  126-8     Citation Subset:  AIM; IM    
Affiliation:
Department of Urology, S. Camillo de' Lellis Hospital, Rieti, Italy.
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MeSH Terms
Descriptor/Qualifier:
Abdominal Muscles / surgery
Aged
Coitus
Female
Follow-Up Studies
Humans
Hysterectomy
Middle Aged
Polypropylenes*
Postoperative Complications
Sacrococcygeal Region
Sexual Behavior
Surgical Mesh*
Treatment Outcome
Urinary Bladder
Urinary Catheterization / instrumentation
Urinary Incontinence / surgery
Urination Disorders / etiology
Uterine Prolapse / surgery*
Vagina / surgery*
Chemical
Reg. No./Substance:
0/Polypropylenes

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


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