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Comparing combined paravaginal repair with pubocervical fascia plication versus standard anterior colporrhaphy for the treatment of stress urinary incontinence in women with anterior vaginal wall prolapse: a randomised controlled trial.
Arch Gynecol Obstet
January 2025
Department of Gynecology, First Affiliated Hospital of Zhengzhou University, No.1 Jianshe Dong Road, ErQi District, Zhengzhou, 450001, China.
Background: Stress urinary incontinence (SUI) is prevalent among women, often occurring alongside anterior vaginal wall prolapse. This study compares the efficacy and safety of an improved vaginal wall repair technique with pubocervical fascia fixation versus standard anterior colporrhaphy for treating SUI in women with anterior vaginal wall prolapse.
Methods: A single-centre, parallel-group, randomised controlled trial was conducted between September 2021 and June 2024.
A Presacral Fixation Simulation Surgical Training Model for Transvaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) Sacrocolpopexy.
J Minim Invasive Gynecol
October 2024
From the Department of Gynecology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China (all authors). Electronic address:
Objective: The number of sacrocolpopexies performed with transvaginal natural orifice transluminal endoscopic surgery (vNOTES) is increasing, and presacral fixation is the most dangerous step. Therefore, the training opportunities for trainees to become competent in performing vNOTES sacrocolpopexy are very important. Simulation-based training is ideal for filling this gap.
View Article and Find Full Text PDFThe influence of simultaneous posterior colporrhaphy and perineoplasty on the efficiency and safety of mesh-augmented sacrospinal fixation (apical sling) in advanced POP repair.
Trials
October 2024
Saint-Petersburg State University Hospital (SPSU Hospital), 154 Fontanka Embankment, Saint-Petersburg, 190103, Russian Federation.
Article Synopsis
- Pelvic organ prolapse (POP) is prevalent among women post-birth, affecting 40-60%, and often involves issues that can't be corrected without addressing connected defects like perineal body incompetency.
- A clinical trial will involve 310 women, dividing them into two groups: one receiving standard procedures and the other receiving those plus perineoplasty.
- The study aims to determine if adding perineoplasty improves the outcomes of pelvic organ prolapse surgery, as past research hasn't conclusively shown its effectiveness in preventing recurrence.
Bilateral Sacrospinous Vaginal Vault Fixation With Synthetic Mesh Arms: A Novel Technique.
J Obstet Gynaecol Can
December 2024
Division of Gynecologic Specialties, Department of Obstetrics and Gynecology, University of British Columbia, Vancouver, BC. Electronic address:
Sacrospinous ligament suspension is used for suspension of apical prolapse; however, it has a high rate of recurrence compared with sacrocolpopexy, and a high rate of pain compared with uterosacral suspension. We developed a novel surgical procedure of bilateral sacrospinous vaginal vault fixation with synthetic mesh arms. We previously demonstrated its safety, and in Supplementary video 1, we describe a step-by-step surgical approach that could be replicated.
View Article and Find Full Text PDFAbdominal Mesh Colpopexy Without Promontory Fixation: 10-Year Follow-up Results of the Peritoneocolpopexy Technique.
Urology
November 2024
Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX. Electronic address:
Objective: To restore apical vaginal prolapse support when the access to the promontory is challenging, a modified method of colpopexy may be needed. We present our 10-year results on the peritoneocolpopexy (PCP) technique without promontory fixation relying on unidirectional barbed delayed absorbable sutures (V-Loc).
Methods: Fourteen women who underwent PCP for vaginal vault prolapse between 2011 and 2014 participated in an IRB-approved prospective study (11 noninfected; 3 with infected mesh needing excision).
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