Modified McCall culdoplasty versus Shull suspension in pelvic prolapse primary repair: a retrospective study

被引:43
作者
Spelzini, Federico [1 ]
Frigerio, Matteo [2 ]
Manodoro, Stefano [2 ]
Interdonato, Maria Lieta [2 ]
Cesana, Maria Cristina [2 ]
Verri, Debora [2 ]
Fumagalli, Caterina [2 ]
Sicuri, Martina [2 ]
Nicoli, Elena [2 ]
Polizzi, Serena [2 ]
Milani, Rodolfo [2 ]
机构
[1] Univ Milano Bicocca, Hosp Sondrio, Dept Obstet & Gynecol, Sondrio, Italy
[2] Univ Milano Bicocca, San Gerardo Hosp, Dept Obstet & Gynecol, Monza, Italy
关键词
Uterosacral ligament suspension; McCall culdoplasty; Shull suspension; Pelvic organ prolapse; Quality of life; ORGAN PROLAPSE; UTEROSACRAL LIGAMENT; VAGINAL HYSTERECTOMY; RISK-FACTORS; TERMINOLOGY;
D O I
10.1007/s00192-016-3016-6
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Uterosacral ligament suspension at the time of primary prolapse repair represents a well-established surgical option. Our aim was to compare the effectiveness, complications rate, and functional results of modified McCall culdoplasty and Shull suspension. Patients who underwent vaginal hysterectomy and cuff suspension for pelvic organ prolapse were retrospectively analyzed. McCall culdoplasty (group A) or Shull suspension (group B) were performed according to surgeon choice based on age and sexual activity. Perioperative data, objective, and subjective cure rate were noted. A total of 339 patients (215 in group A and 124 in group B) completed follow-up. Operating time and blood loss were slightly higher in group B. The complications rate was similar in the two groups. Anatomical outcomes in terms of recurrence and reoperation rate did not show any statistically significant differences. POP-Q items analysis revealed only a different total vaginal length between groups (8 mm longer in group B). Functional outcomes were similar in the two groups as was patient satisfaction. Both uterosacral ligament suspension procedures were shown to be safe and effective. There were no clinically significant differences with regard to surgical data, complications, anatomical, functional, and subjective outcomes between modified McCall culdoplasty and Shull suspension.
引用
收藏
页码:65 / 71
页数:7
相关论文
共 26 条
[1]   Fourth International Consultation on Incontinence Recommendations of the International Scientific Committee: Evaluation and Treatment of Urinary Incontinence, Pelvic Organ Prolapse, and Fecal Incontinence [J].
Abrams, P. ;
Andersson, K. E. ;
Birder, L. ;
Brubaker, L. ;
Cardozo, L. ;
Chapple, C. ;
Cottenden, A. ;
Davila, W. ;
de Ridder, D. ;
Dmochowski, R. ;
Drake, M. ;
DuBeau, C. ;
Fry, C. ;
Hanno, P. ;
Smith, J. Hay ;
Herschorn, S. ;
Hosker, G. ;
Kelleher, C. ;
Koelbl, H. ;
Khoury, S. ;
Madoff, R. ;
Milsom, I. ;
Moore, K. ;
Newman, D. ;
Nitti, V. ;
Norton, C. ;
Nygaard, I. ;
Payne, C. ;
Smith, A. ;
Staskin, D. ;
Tekgul, S. ;
Thuroff, J. ;
Tubaro, A. ;
Vodusek, D. ;
Wein, A. ;
Wyndaele, J. J. .
NEUROUROLOGY AND URODYNAMICS, 2010, 29 (01) :213-240
[2]   A constipation scoring system to simplify evaluation and management of constipated patients [J].
Agachan, F ;
Chen, T ;
Pfeifer, J ;
Reissman, P ;
Wexner, SD .
DISEASES OF THE COLON & RECTUM, 1996, 39 (06) :681-685
[3]  
Antovska S V, 2006, Bratisl Lek Listy, V107, P62
[4]   ICIQ: A brief and robust measure for evaluating the symptoms and impact of urinary incontinence [J].
Avery, K ;
Donovan, J ;
Peters, TJ ;
Shaw, C ;
Gotoh, M ;
Abrams, P .
NEUROUROLOGY AND URODYNAMICS, 2004, 23 (04) :322-330
[5]   Multicenter, randomized trial comparing native vaginal tissue repair and synthetic mesh repair for genital prolapse surgical treatment [J].
Brandao da Silveira, Simone dos Reis ;
Haddad, Jorge Milhem ;
Katalin de Jarmy-Di Bella, Zsuzsanna Ilona ;
Nastri, Fernanda ;
Markos Kawabata, Miriam Goncalves ;
Carramao, Silvia da Silva ;
Rodrigues, Claudinei Alves ;
Baracat, Edmund Chada ;
Flores Auge, Antonio Pedro .
INTERNATIONAL UROGYNECOLOGY JOURNAL, 2015, 26 (03) :335-342
[6]   Uterosacral ligament: Description of anatomic relationships to optimize surgical safety [J].
Buller, JL ;
Thompson, JR ;
Cundiff, GW ;
Sullivan, LK ;
Ybarra, MAS ;
Bent, AE .
OBSTETRICS AND GYNECOLOGY, 2001, 97 (06) :873-879
[7]   The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction [J].
Bump, RC ;
Mattiasson, A ;
Bo, K ;
Brubaker, LP ;
DeLancey, JOL ;
Klarskov, P ;
Shull, BL ;
Smith, ARB .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1996, 175 (01) :10-17
[8]   Anatomical and functional results of McCall culdoplasty in the prevention of enteroceles and vaginal vault prolapse after vaginal hysterectomy [J].
Chene, Gautier ;
Tardieu, Anne-Sylvie ;
Savary, Denis ;
Krief, Mikael ;
Boda, Carole ;
Anton-Bousquet, Marie-Claude ;
Mansoor, Aslam .
INTERNATIONAL UROGYNECOLOGY JOURNAL, 2008, 19 (07) :1007-1011
[9]   Epidemiologic evaluation of reoperation for surgically treated pelvic organ prolapse and urinary incontinence [J].
Clark, AL ;
Gregory, T ;
Smith, VJ ;
Edwards, R .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2003, 189 (05) :1261-1267
[10]   Sacrospinous ligament fixation and modified McCall culdoplasty during vaginal hysterectomy for advanced uterovaginal prolapse [J].
Colombo, M ;
Milani, R .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1998, 179 (01) :13-20