We report our experience on abdominal sacral colpopexy (CSP) with a prolene net in woman with total vaginal vault prolapse. From 1994 to 1997 15 patients (mean age 57 years), underwent a CSP. All the patients had a serious vaginal vault prolapse. Eight of them also had a uterine prolapse, 7 patients had already had a hysterectomy (5 vaginal, 2 abdominal) and 4 had already undergone an operation for urinary incontinence. The average follow-up was 15 months. Neither relapses of the treated prolapses, nor infections or rejections of the prosthesis occurred. All the patients had a bladder catheter for 4-12 days (mean 5 days). The patients who were sexually active began having normal sexual intercourse again. In one patient pollakiuria, which was insensitive to anticholinergics, persisted. CSP 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, etc.), or when the vagina is too short to fix the sacrospinal ligament transvaginally.
|Translated title of the contribution||Treatment of vaginal vault prolapse with abdominal sacral colpopexy using a prolene net|
|Number of pages||9|
|Journal||Urogynaecologia International Journal|
|Publication status||Published - 1999|
ASJC Scopus subject areas
- Obstetrics and Gynaecology