TY - JOUR
T1 - Sacrospinous fixation for the treatment and prevention of vaginal vault prolapse
AU - Meschia, M.
AU - Amicarelli, F.
AU - Bruschi, F.
AU - Curtarelli, M.
AU - Ronchetti, A.
AU - Savini, P.
AU - Pifarotti, P.
PY - 1996
Y1 - 1996
N2 - Vaginal vault prolapse is an important complication that may occur after vaginal or abdominal hysterectomy. In this study 66 patients underwent a transvaginal sacrospinous fixation either for correction of vaginal vault prolapse (n = 33) or for prophylactic suspension of the apex, at the time of vaginal hysterectomy, in patients with severe utero-vaginal prolapse (n = 33). Results show that after an average time of follow-up of 30 months, the overall rate of anatomic success was more than 80%. The analysis of the vaginal profile shows that the anterior vaginal wall is affected by a higher rate of recurrence, with excellent results observed only in 44% of the patients. Stress urinary incontinence was objectivated with a cough stress test in 26 subjects before surgery, and a 65% cure rate was achieved with different antincontinence procedures.
AB - Vaginal vault prolapse is an important complication that may occur after vaginal or abdominal hysterectomy. In this study 66 patients underwent a transvaginal sacrospinous fixation either for correction of vaginal vault prolapse (n = 33) or for prophylactic suspension of the apex, at the time of vaginal hysterectomy, in patients with severe utero-vaginal prolapse (n = 33). Results show that after an average time of follow-up of 30 months, the overall rate of anatomic success was more than 80%. The analysis of the vaginal profile shows that the anterior vaginal wall is affected by a higher rate of recurrence, with excellent results observed only in 44% of the patients. Stress urinary incontinence was objectivated with a cough stress test in 26 subjects before surgery, and a 65% cure rate was achieved with different antincontinence procedures.
KW - sacrospinous fixation
KW - surgery
KW - vaginal vault prolapse
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M3 - Article
AN - SCOPUS:0029981043
VL - 10
SP - 11
EP - 19
JO - Urogynaecologia International Journal
JF - Urogynaecologia International Journal
SN - 1121-3086
IS - 1
ER -