In a recent chart review of almost 1,000 women who underwent uterosacral colpopexy
for pelvic organ prolapse, on the other hand, the intraoperative bladder injury rate was only 1%, and the rate of ureteral kinking/obstruction requiring stitch removal was significantly higher at 4.
Abdominal sacral colpopexy
or vaginal sacrospinous colpopexy
for vaginal vault prolapse: A prospective randomized study.
Additional procedures, including vaginal hysterectomy, McCall's culdoplasty, sacrospinous colpopexy
and sacrospinous cervicopexy, were carried out wherever appropriate.
The authors are quoted in a HealthDay News report stating, "There was no difference in three-year cure rates when comparing patients undergoing traditional vaginal prolapse surgery without mesh with those undergoing vaginal colpopexy
repair with mesh .
The gynaecological robotic operations which are being performed are myomectomy, total and supracervical hysterectomy, ovarian cystectomy, sacral colpopexy
, tubal reanastomosis, lymph node dissection, surgery of retroperitoneal ectopic pregnancy, the Moskowitz procedure and endometriosis surgery (2-7,12-21).
In the initial study, researchers randomized 100 women with pelvic organ prolapse to receive either mesh or cadaver fascia for abdominal sacral colpopexy
6) Some such surgeries include sacral colpopexy
, a type of surgery that uses a synthetic mesh to support the vagina by suturing the mesh to the sacrum; lifting and "tucking" the ligaments; and laparoscopic uterine suspension.
The abdominal sacral colpopexy
offers the following advantages, consistent anatomy, most definitive enterocele repair and culdoplasty.
I also have adopted a simplified approach to remove the smaller uteri with supracervical hysterectomy and sacral colpopexy
Effect of surgical approach on physical activity and pain control after sacral colpopexy
for support of the vaginal apex.
We routinely offer to our patients minimally invasive laparoscopic, outpatient procedures (and the most experience in the region with hundreds of cases performed annually) in robotic pelvic organ prolapse and urinary incontinence procedures such as sacral colpopexy
that do not require use of controversial vaginal mesh," said Dr.