Posterior intravaginal slingplasty: Efficacy and complications in a continuous series of 118 cases

Stefano Cosma, Mario Preti, Marco Mitidieri, Paolo Petruzzelli, Federica Possavino, Guido Menato

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish
Pages (from-to)611-619
Number of pages9
JournalInternational Urogynecology Journal and Pelvic Floor Dysfunction
Volume22
Issue number5
DOIs
Publication statusPublished - May 2011

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Uterine Prolapse
Polypropylenes
Vaginal Fistula
Pelvic Organ Prolapse
Hematoma
Fistula

Keywords

  • Infracoccygeal sacropexy
  • Intravaginal slingplasty
  • Mesh erosion
  • Posterior IVS
  • Vaginal vault prolapse

ASJC Scopus subject areas

  • Urology
  • Obstetrics and Gynaecology

Cite this

Posterior intravaginal slingplasty : Efficacy and complications in a continuous series of 118 cases. / Cosma, Stefano; Preti, Mario; Mitidieri, Marco; Petruzzelli, Paolo; Possavino, Federica; Menato, Guido.

In: International Urogynecology Journal and Pelvic Floor Dysfunction, Vol. 22, No. 5, 05.2011, p. 611-619.

Research output: Contribution to journalArticle

Cosma, Stefano ; Preti, Mario ; Mitidieri, Marco ; Petruzzelli, Paolo ; Possavino, Federica ; Menato, Guido. / Posterior intravaginal slingplasty : Efficacy and complications in a continuous series of 118 cases. In: International Urogynecology Journal and Pelvic Floor Dysfunction. 2011 ; Vol. 22, No. 5. pp. 611-619.
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