The sacrospinous vaginal vault suspension: Critical analysis of outcomes

被引：41

作者：

Meschia M. ^{[1
,2
]}

Bruschi F. ^{[1
]}

Amicarelli F. ^{[1
]}

Pifarotti P. ^{[1
]}

Marchini M. ^{[1
]}

Crosignani P.G. ^{[1
]}

机构：

[1] First Dept. of Obstet. and Gynecol., University of Milan

[2] 1 Dept. of Obstetrics and Gynecology, University of Milan

来源：

International Urogynecology Journal | 1999年 / 10卷 / 3期

关键词：

Pelvic support defects; Sacrospinous fixation; Stress urinary incontinence; Vaginal vault prolapse;

D O I：

10.1007/s001920050037

中图分类号：

学科分类号：

摘要：

One hundred and three women with a preoperative diagnosis of a pelvic support defect underwent right sacrospinous fixation of the vaginal apex. The procedure was performed either therapeutically (in 63 subjects with vaginal vault eversion) or prophylactically (40 patients with severe uterovaginal prolapse), and was associated with other reconstructive procedures to repair the coexisting cystocele, enterocele or rectocele. Preoperative and postoperative assessments of each vaginal site were compared and the results in the cure of stress urinary incontinence, if present, were evaluated with regard to the type of surgery performed. The overall rate of satisfactory results in the repair of the superior vaginal defect was 94%, and good anatomic results were achieved in the repair of either enterocele or rectocele. Conversely, the repair of the anterior vaginal wall was not as good as in the posterior and superior vaginal sites. Stress urinary incontinence was successfully managed in 72% of the women using different anti-incontinence procedures.

引用

页码：155 / 159

页数：4

共 20 条

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