Randomized trial of fascia lata and polypropylene mesh for abdominal sacrocolpopexy
: 5-year follow-up.
It can also be corrected abdominally (open, laparoscopic, or robotic-assisted) with sacrocolpopexy
or sacrohysteropexy, which suspends the vaginal apex or uterus to the longitudinal sacral ligament using a Y-shaped graft of synthetic mesh.
Laparoscopic ventral rectopexy, posterior colporrhaphy and vaginal sacrocolpopexy
for the treatment of recto-genital prolapse and mechanical outlet obstruction: Colorectal Disease, February, 2008.
utilizing Gortex Tex in genital prolapse.
These include the vaginal procedures McCall culdoplasty; plication of the uterosacral ligament; sacrospinous or prespinous fixation for vaginal vault prolapse; and Sacrocolpopexy
(performed via an open procedure or laparoscopically).
In this report, two cases of POP treated with a combined application of vaginal mesh by transobturator approach and laparoscopic sacrocolpopexy
in the same operational session were presented.
Current level 1 evidence suggests that the optimal procedure for anterior vaginal repair is an abdominal sacrocolpopexy
combined with a Burch colposuspension and a paravaginal repair.
A 62-year-old woman with stage III pelvic organ prolapse consented to a laparoscopic hysterectomy, sacrocolpopexy
, and a prophylactic midurethral sling.
The group suggested uterine preservation when considering mesh sacrocolpopexy
versus mesh sacrohysteropexy, to reduce mesh erosion, OR time, blood loss, hospital stay, and surgery costs, although there might be a slight worsening of Pelvic Floor Distress Inventory and Pelvic Floor Impact scores.
Dynamic magnetic resonance imaging before and 6 months after laparoscopic sacrocolpopexy
. Int Urogynecol J 2014;25:507-15.
Among them 30 women underwent Ward Mayo's operation, four underwent Sacrospinous fixation along with Ward Mayo's operation & two underwent Sacrocolpopexy
The CARE study (5) was a multicentre study involving 157 patients randomised to a prophylactic Burch colposuspension at sacrocolpopexy
, with 165 women serving as controls.