Vaginal Approach to Vesicovaginal Fistula and Vaginal Vault Prolapse Preserving Sexual Function by Latzko Repair and Sacrospinous Suspension

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...

[Impact of sacrospinous vaginal vault suspension on the anterior compartment].

OBJECTIVES A prospective study was conducted to assess the efficacy of sacrospinous vaginal vault fixation and its impact on the anterior compartment. The Pelvic Organ Prolapse Quantification (POP-Q) system was used to quantify pelvic organ prolapse in the apical and anterior vaginal compartments. METHODS Fifty-eight patients underwent a procedure to correct apical prolapse from March 2003 to...

Abdominal sacral colpopexy or vaginal sacrospinous colpopexy for vaginal vault prolapse: a prospective randomized study

Study sample Power calculations were performed in the preliminary phase of the study. These were based on a 58% success rate for the abdominal group, a 29% success rate for the vaginal group, a significance level of 5% and a statistical power of 80%. This led to a sample size of 40 women in each group, which was increased to 95 to minimise the impact of loss to follow-up (expected to be around ...

Uterine and Vaginal Vault Prolapse

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...