Posterior intravaginal slingplasty: efficacy and complications in a continuous series of 118 cases

作者：Cosma Stefano^*; Preti Mario; Mitidieri Marco; Petruzzelli Paolo; Possavino Federica; Menato Guido

来源：International Urogynecology Journal and Pelvic Floor Dysfunction, 2011, 22(5): 611-619.

DOI：10.1007/s00192-010-1350-7

• Infracoccygeal sacropexy
• Intravaginal slingplasty
• Mesh erosion
• Posterior IVS
• Vaginal vault prolapse

Posterior intravaginal slingplasty (PIVS) is a minimally invasive procedure that aims to suspend vaginal vault. Our study evaluated efficacy and complications of PIVS at long-term follow-up.
One hundred eighteen consecutive women underwent PIVS operation for Pelvic Organ Prolapse Quantification stage 3 or 4 vaginal cuff prolapse (VCP; 25 patients) or utero-vaginal prolapse (UVP; 93 patients). Apical vaginal wall at stage 0 or 1 was considered as cured.
Follow-up mean duration was 58.6 months (range, 24-84 months). The success rate of PIVS was 96.6%. Some 8.5% mesh erosion (20% in patients with VCP and 5.4% with UVP), 2.5% vaginal-perineal fistula, and 3.4% paravaginal hematoma occurred. Neither erosion nor fistulas occurred with monofilament polypropylene mesh.
PIVS seems a safe and effective procedure for VCP and UVP. Vaginal erosion was mainly observed in patients with VCP treated with multifilament polypropylene mesh.

• 出版日期2011-5