Laparoscopic minimally invasive sacrocolpopexy or hysteropexy and transobturator tape combined with native tissue repair of the vaginal compartments in patients with advanced pelvic organ prolapse and incontinence
| Autor: | Dragoslav Basic, Ljubomir Dinic, Milan Potic, Aleksandar Skakic, Ivan Ignjatovic |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Urology Urinary Incontinence Stress 030232 urology & nephrology Rectum Urinary incontinence Pelvic Organ Prolapse 03 medical and health sciences 0302 clinical medicine Gynecologic Surgical Procedures medicine Humans Suburethral Slings 030219 obstetrics & reproductive medicine business.industry Obstetrics and Gynecology Uterine prolapse Sacrohysteropexy medicine.disease Occult Surgery Dissection medicine.anatomical_structure Treatment Outcome Urinary Incontinence Vagina Female Laparoscopy medicine.symptom business Vaginal Vault Prolapse |
| Zdroj: | International urogynecology journal. 32(4) |
| ISSN: | 1433-3023 |
| Popis: | The aim of the study was to evaluate hysterectomized and non-hysterectomized patients with prolapse and incontinence. Laparoscopic sacrohysteropexy (LSHP) and minimally invasive sacrocolpopexy (LMSCP) were done in combination with transobturator tape (TOT) and native tissue repair of the anterior and posterior vaginal compartments in patients with pelvic organ prolapse (POP) and occult, stress, or urinary incontinence (SUI). The hypothesis is that both methods are successful. A total of 81 patients with POP were evaluated: 44 had vaginal vault prolapse (POPQ points Ba, C, and Bp were 1.2, 2.6, and 0.4, respectively) and 37 had uterine prolapse (POPQ points Ba, C, and Bp were 1.8, 1.7, and 1.3, respectively). LMSCP (which means less dissection of the vagina in its upper third and avoiding possible collision with the ureters anteriorly or the rectum posteriorly) was performed in patients with vault prolapse, whereas patients with uterine prolapse underwent LSHP. Transobturator tape (TOT) was placed in all patients to treat symptomatic and occult urinary incontinence. Systematic anterior and posterior colporrhaphy was performed in both groups. Both groups showed anatomic (p |
| Databáze: | OpenAIRE |
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