Korean J Urol.  2007 Sep;48(9):971-975. 10.4111/kju.2007.48.9.971.

Mid-term Results and Complications of Posterior Intravaginal Slingplasty for Patients with Uterine and Vaginal Vault Prolapse

Affiliations
  • 1Department of Urology, Kosin University College of Medicine, Busan, Korea. schoi@ns.kosinmed.or.kr

Abstract

PURPOSE
Only a few reports have been published describing the mid-term results of posterior intravaginal slingplasty(IVS). We analyzed the efficacy and complications of this procedure.
MATERIALS AND METHODS
We analyzed the treatment outcomes of 95 patients who underwent posterior IVS due to uterine(n=59) and vaginal vault(n=36) prolapse. The degrees of prolapse were classified according to pelvic organ prolapse quantification(POPQ) of the International Continence Society(ICS), and posterior IVS was conducted for cases above stage 2. Polypropylene tape was used for all 95 patients. On the postoperative evaluation, stage 0 was regarded as a complete remission, stage 1 as an improvement and above stage 2 as a failure.
RESULTS
Among the patients operated on for uterine and vaginal vault prolapse, 48(81.4%) and 30(83.3%) patients were cured, and 8(13.6%) and 6(16.7%) patientsshowed improvement, and 3(5.1%) and 0(0%) patients showed failure, respectively. The mean hospitalization was 3.3 and 3.8 days, the mean operative time was 37.4 and 36.7 minutes, and the mean bleeding volume was 91 and 102ml in the uterine prolapse group and the vaginal vault prolapse group, respectively. The mean follow-up time was 27.3 months(2-40). Identified complications were tape erosion in 9 cases(9.5%), hemorrhage that needed transfusion in 3 cases(3.2%), and recurrent prolapse in 3 cases(3.2%).
CONCLUSIONS
Posterior IVS proved to be a highly effective therapeutic method for uterine and vaginal vault prolapse, with a low surgical risk and less discomfort to the patients. Tape erosion was a relative frequent complication of this operation.

Keyword

Prolapse; Treatment outcome; Complications

MeSH Terms

Follow-Up Studies
Hemorrhage
Hospitalization
Humans
Operative Time
Pelvic Organ Prolapse*
Polypropylenes
Prolapse
Treatment Outcome
Uterine Prolapse
Polypropylenes

Cited by  1 articles

A Comparison of Traditional Anterior Colporrhaphy and Cystocele Repair with Monofilament Polypropylene Mesh Repair (Gynemesh PSTM)
Jin Kuk Cho, Byung Soo Chung, Sung Tae Cho
Korean J Urol. 2008;49(7):616-621.    doi: 10.4111/kju.2008.49.7.616.


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