Native Tissue Prolapse Repairs: Comparative Effectiveness Trials

Obstetrics and Gynecology Clinics of North America
Lauren N Siff, M D Barber

Abstract

This report reviews the success rates and complications of native tissue (nonmesh) vaginal reconstruction of pelvic organ prolapse by compartment. For apical prolapse, both uterosacral ligament suspensions and sacrospinous ligament fixations are effective and provided similar outcomes in anatomy and function with few adverse events. In the anterior compartment, traditional colporrhaphy technique is no different than ultralateral suturing. In the posterior compartment, transvaginal rectocele repair is superior to transanal repair. For uterine preservation, sacrospinous hysteropexy is not inferior to vaginal hysterectomy with uterosacral ligament suspension for treatment of apical uterovaginal prolapse.

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Citations

Oct 27, 2016·Female Pelvic Medicine & Reconstructive Surgery·Geoffrey W Cundiff
Sep 19, 2019·International Urogynecology Journal·Moshe GillorHans Peter Dietz
Aug 28, 2019·Scientific Reports·Maria Florian-RodriguezR Ann Word
Oct 16, 2019·Current Urology Reports·Ricardo Palmerola, Nirit Rosenblum
Feb 23, 2017·Archives of Gynecology and Obstetrics·Michele Carlo SchiaviPierluigi Benedetti Panici
Feb 19, 2017·International Urogynecology Journal·Dmitry ShkarupaEkaterina Shapovalova

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