Objective: To evaluate subjective results of Marshall Marchetti Krantz (MMK) and anterior colporraphy (AC) procedures.
Study Design: Patients who had operations for genuine stress incontinence 10 years ago were surveyed regarding their current incontinence status. Results of both procedures were evaluated and compared.
Results: Fourteen of 28 patients in the MMK group and 21 of 67 patients in the AC group were evaluated at 10 years, the cure rates were found to be 64% and 38%, respectively.
Conclusion: We conclude that the success rate of both procedures declines over time. The anterior colporraphy procedure appears to have a lower success rate than MMK, although this was not found to be statistically significant.
- The study aimed to compare the outcomes of anterior sacrospinous ligament fixation (ASSLF) with native tissue repair versus mesh repair for anterior prolapse over a year.
- A total of 106 women were evaluated, revealing no significant differences in overall Ba point position post-surgery, but noted better apex and rectocele corrections in the native tissue repair group.
- The findings suggested that ASSFL using native tissue doesn't lead to a higher recurrence of cystocele one year after surgery, indicating the need for further research to confirm these results.
Obstetrics and Gynecology University Department, Mauriziano Umberto I Hospital, Largo Turati 62, 10128 Torino, Italy; University of Turin, Department of Surgical Sciences, Corso Dogliotti 14, 10126 Torino, Italy. Electronic address:
Objectives: Straining to void is the need to make a muscular effort in order to initiate, maintain or improve the urinary stream, through an increase in abdominal pressure. This pattern of bladder emptying is frequently observed in women with pelvic organ prolapse causing urinary obstruction, to overcome the increased resistance to urine flow. However, frequent increases in abdominal pressure are a risk factor for developing pelvic organ prolapse, and might play a role in its recurrence after surgery.
Obstetrics and Gynecology University Department, Mauriziano Umberto I Hospital, Turin, Italy; University of Turin, Department of Surgical Sciences, Turin, Italy.
Objectives: McCall culdoplasty is a commonly performed procedure for pelvic organ prolapse surgical repair; despite its good efficacy, however, anterior prolapse recurrence frequently occurs. The aim of our study was to verify whether fixation of utero-sacral ligaments (USLs) to anterior vaginal wall during a modified McCall culdoplasty (MMC) could reduce the rate of anterior recurrence of prolapse.
Study Design: This was a retrospective study on women submitted to MMC after vaginal hysterectomy and anterior colporraphy for prolapse repair.
Native tissue cystocele repair has been the cornerstone of prolapse surgery, especially since the learned societies warned clinicians and patients about serious mesh related complications and recommend a vaginal route without prosthesis in first intention. Surgical techniques mainly consist in anterior colporraphy, vaginal patch plastron and para vaginal repair. However, in case of vaginal patch plastron, the vagina left in contact with the bladder is a material of much better quality than colporraphy alone.
Department of Pediatrics, Gynecology and Obstetrics, Division of Gynecology, Urogynecology Unit, Geneva University Hospitals, 30 boulevard de la Cluse, 1211, Genève 14, Switzerland.
Introduction And Hypothesis: Laparoscopic lateral suspension (LLS) for anterior and apical pelvic organ prolapse (POP) repair is a recent approach. Previous studies used various meshes or sutures. The purpose of this study was to evaluate outcomes of a standardized LLS technique.
