posterior intravaginal slingplasty for vaginal prolapse
نویسندگان
چکیده
objective: urogynecologists are constantly looking for simple, safe and effective ways to cure vaginal apex prolapse. the aim of this study was to evaluate the results of posterior intravaginal slingplasty (pivs). materials and methods : a total of 38 patients with advanced vaginal apical prolapse underwent posterior intravaginal slingplasty in vali-e-asr hospital in tehran. in this clinical trial (before-after study), demographic, pre-operative, operative details and post-operative follow-up data were collected for all patients. the data were analyzed using spss software and mac nemar test. p<0.05 was considered for statistical significance. results : the mean for patients' age was 67 (50-81) years, for operation time was 35 (25-45) minutes and for blood loss was 125 (70-300) ml. no intraoperative rectal perforation was observed and there was a significant difference in patients' symptoms such as pelvic pain, nocturia, urgency and urinary tract infection before and after the surgery (p < 0.001). conclusion : pivs had similar efficacy with other studies in the treatment of vaginal vault prolapse. the procedure reduces the complication rate and shortens the rehabilitation period with a satisfying result.
منابع مشابه
Posterior Intravaginal Slingplasty versus Unilateral Sacrospinous Ligament Fixation in Treatment of Vaginal Vault Prolapse
Objective. To investigate the differences in efficacy, postoperative complications, and patient satisfaction between posterior intravaginal slingplasty (PIVS) and unilateral sacrospinous ligament fixation (SSLF) procedures. Study Design. A retrospective study of thirty-three women who underwent PIVS or SSLF treatment for vaginal vault prolapse in Oulu University Hospital. The patients were invi...
متن کاملThe Posterior Intravaginal Slingplasty treatment for apical prolapse: 3 years experience in a single centre setting
AIM To assess the anatomic effectiveness and complications of the Posterior IVS technique for the treatment of pelvic organ prolapse over a period of 3 years. METHODS A retrospective, single-arm, non-comparative study involving routine, standardised, pre-operative assessment, surgery and follow-up care using the Pelvic Organ Prolapse Quantifications score at 1, 2 and 3 years was performed. Th...
متن کاملIschiorectal abscess and ischiorectal-vaginal fistula as delayed complications of posterior intravaginal slingplasty: a case report.
BACKGROUND Synthetic meshes have been used extensively to augment surgical management of pelvic organ prolapses. Posterior intravaginal sling (IVS) is a technique used for correcting vaginal vault/apical prolapse, posterior vaginal prolapse or rectocele. There are limited data on long-term safety of this procedure. In a subanalysis of the IVS tapes from the SUSPEND trial performed secondary to ...
متن کاملAnatomical and Functional Outcomes of Posterior Intravaginal Slingplasty for the Treatment of Vaginal Vault or Uterine Prolapse: A Prospective, Multicenter Study
PURPOSE We aimed to evaluate the anatomical and functional outcomes of posterior intravaginal slingplasty (P-IVS) for the treatment of a vaginal vault or uterine prolapse (VP/UP). MATERIALS AND METHODS This was a 12-month prospective, multicenter, observational study. Women aged over 30 years who presented with stage II or greater VP/UP underwent P-IVS by four urologists at four university ho...
متن کاملHigh incidence of vaginal mesh extrusion using the intravaginal slingplasty sling.
PURPOSE The intravaginal slingplasty (IVS) is a tension-free vaginal tape variant that uses a multi-filament polypropylene tape to support the mid urethra for the treatment of female stress urinary incontinence. Numerous cases of defective vaginal wound healing have been described in the international urogynecological literature. We describe our experience of vaginal mesh extrusion using the IV...
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عنوان ژورنال:
journal of family and reproductive healthجلد ۲، شماره ۱، صفحات ۱۳-۱۶
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