Bilateral anterior sacrospinous ligament suspension associated with a paravaginal repair with mesh: short-term clinical results of a pilot study.

International Urogynecology Journal
Renaud de TayracPierre Costa

Abstract

This study aims to assess anatomical and functional results of bilateral anterior sacrospinous ligament suspension associated with paravaginal repair with mesh. Forty-eight patients were operated between March 2007 and August 2008. Mean age was 67 years old. Nineteen patients (39.6%) had been previously operated for a genital prolapse. All patients had both anterior vaginal wall prolapse and a level 1 defect; stage 2 to 4 (POP-Q). Median follow-up is 8 months (range 1 to 18). Perioperative complications were: one bladder injury (2.1%), three haematomas (6.3%), two ureteral kinking (4.2%) and two sciatic pain (4.2%). Anatomical success was observed in 47/48 patients (97.9%) for uterine or vaginal vault prolapse and 46/48 patients (95.8%) for anterior vaginal wall prolapse. This procedure is a challenging surgical technique requiring a significant level of skill and training, which yields a very high success rate; however, it is not without potential ureteral and neurologic complications.

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Citations

Jan 12, 2013·International Urogynecology Journal·Z RusavyR de Tayrac
Apr 26, 2012·International Urogynecology Journal·Manhan K VuRoger P Goldberg
Nov 28, 2012·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·G RivauxR de Tayrac
Mar 26, 2011·Gynécologie, obstétrique & fertilité·J-P LucotM Cosson
Jun 5, 2020·International Urogynecology Journal·Vladimir KalisKhaled M Ismail
Aug 13, 2011·Current Opinion in Obstetrics & Gynecology·Tajnoos YazdanyNarender N Bhatia

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