Infracoccygeal sacropexy reinforced with posterior mesh interposition for apical and posterior compartment prolapse

European Journal of Obstetrics, Gynecology, and Reproductive Biology
Loïc SentilhesLoïc Marpeau

Abstract

To assess the efficacy, safety and functional outcome of infracoccygeal sacropexy reinforced with posterior mesh interposition performed alone or in combination with the implantation of other prosthetic materials for prolapse repair. Seventy-two patients requiring prolapse repair for apical and/or posterior compartment prolapse, operated between March 2002 and September 2005. Patients underwent physical examination for prolapse assessment according to the international pelvic organ prolapse staging system and were evaluated for objective and subjective prolapse symptoms pre- and post-operatively. Objective success was defined by the midline posterior vaginal wall at stage 0 or 1, while subjective success was defined by a score above or equal to 7.5 measured on a visual analogue scale (0, very disappointed; 10, very satisfied). Follow-up was done at 6 weeks, 6 months and then once a year. Seventy-two patients with a mean age of 65 years were followed-up with a median of 26.3 months (range 10-43). Stages 3 and 4 represented 65.3% of all apical and/or posterior compartment prolapse. Fifty-nine patients had a concomitant anterior prolapse repair. Both objective and subjective success rates were 97.2%. All subjective prolapse sympto...Continue Reading

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Citations

Jan 15, 2011·International Urogynecology Journal·Stefano CosmaGuido Menato
Oct 22, 2013·International Urogynecology Journal·Viviane Dietz, Christopher Maher
Jul 22, 2008·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M Pescatori, A P Zbar
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Nov 4, 2008·Obstetrics and Gynecology·Vivian W SungUNKNOWN Society of Gynecologic Surgeons Systematic Review Group

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