MP10-15 HIGH MIDLINE LEVATOR MYORRHAPHY FOR VAGINAL VAULT PROLAPSE: LONG-TERM RESULTS

High levator myorrhaphy for transvaginal suspension of the vaginal apex: long-term results.

PURPOSE We evaluated the long-term outcome and complications of high levator myorrhaphy for vaginal apical defects. MATERIALS AND METHODS A total of 286 patients underwent high levator myorrhaphy. Patients underwent preoperative and postoperative urogynecologic assessment, including evaluation of prolapse stage according to the international pelvic organ prolapse staging system and convention...

Vaginal Vault Prolapse

Introduction. Vaginal vault prolapse is a common complication following vaginal hysterectomy with negative impact on women's quality of life due to associated urinary, anorectal and sexual dysfunction. A clear understanding of the supporting mechanism for the uterus and vagina is important in making the right choice of corrective procedure. Management should be individualised, taking into consi...

Uterine and Vaginal Vault Prolapse

Laparoscopic sacral colpopexy for vaginal vault prolapse.

Laparoscopic sacral colpopexy can be used to treat vaginal vault and genital prolapse. After preparation, the vaginal apex is attached to the sacrum over the third and fourth sacral vertebrae using mesh.

High uterosacral vaginal vault suspension with fascial reconstruction for vaginal repair of enterocele and vaginal vault prolapse.

OBJECTIVE The purpose of this study was to review retrospectively the functional and anatomic outcomes of women who underwent vaginal repair of enterocele and vault prolapse with the use of an intraperitoneal suspension of the vaginal vault to the uterosacral ligaments in conjunction with fascial reconstruction of the anterior and posterior vaginal wall. STUDY DESIGN Two hundred two women wit...