Hysteropexy and Anterior Vaginal Native Tissue Repair in Women with Anterior and Central Compartment Prolapse: A Long Term Follow-Up

被引:3
|
作者
Serati, Maurizio [1 ]
Salvatore, Stefano [2 ]
Torella, Marco [3 ]
Scancarello, Chiara [1 ]
De Rosa, Andrea [1 ]
Ruffolo, Alessandro Ferdinando
Caccia, Giorgio [4 ]
Ghezzi, Fabio
Papadia, Andrea [5 ,6 ]
Baruch, Yoav [7 ]
Braga, Andrea [4 ,6 ]
机构
[1] Univ Insubria, Ponte Hosp, Dept Obstet & Gynecol, I-21100 Varese, Italy
[2] IRCSS San Raffaele Sci Inst, Dept Obstet & Gynecol, I-21132 Milan, Italy
[3] Univ Naples 2, Dept Gyanecol Obstet & Reprod Sci, I-80138 Naples, Italy
[4] EOC Beata Vergine Hosp, Dept Obstet & Gynecol, CH-6850 Mendrisio, Switzerland
[5] EOC Civico Hosp, Dept Obstet & Gynecol, CH-6900 Lugano, Switzerland
[6] Univ Svizzera Italiana, Fac Biomed Sci, CH-6900 Lugano, Switzerland
[7] Tel Aviv Univ, Dept Obstet & Gynecol, Tel Aviv Med Ctr, IL-6997801 Tel Aviv, Israel
关键词
hysteropexy; cystocele; pelvic organ prolapse; apical prolapse; transverse cystocele repair; SACROSPINOUS UTERINE SUSPENSION; QUALITY-OF-LIFE; HYSTERECTOMY; VALIDATION;
D O I
10.3390/jcm12072548
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Although it is known that hysterectomy (HY) alone cannot resolve apical prolapse, vaginal hysterectomy (VH) remains the most common surgical procedure for this issue. In recent years, various procedures for uterine conservation have been proposed to avoid the surgical risks of HY. Furthermore, most women with symptomatic pelvic organ prolapse (POP) prefer uterine conservation in the absence of considerable benefit in uterine removal. In 2017, we proposed a new technique for hysteropexy and anterior vaginal native tissue repair (NTR) in women with cystocele and apical prolapse. The objective of this study is to assess the efficacy and safety of this new procedure after at least 5 years of follow-up. We included only patients with stage II or greater prolapse of the anterior vaginal wall and a concomitant stage II uterine prolapse in accordance with Pelvic Organ Prolapse Quantification (POP-Q) system. A Patient Global Impression of Improvement (PGI-I) score <= 2 in addition with the absence of POP symptoms was defined as subjective success. A descensus with a maximum point of less than -1 in any compartment was considered objective cure. A total of 102 patients who fulfilled the inclusion criteria were enrolled. At 60 months follow-up, 90 out of 102 patients (88%) were subjectively cured, whereas 88 out of the 102 (86%) patients were objectively cured. Subjective and objective cure rates persisted during the entire study period. Uni- and multivariate analysis of possible predictive factors associated with recurrence of prolapse showed that only a preoperative point C > 0 cm and BMI >= 25 kg/m(2) were risk factors for failure. In conclusion, our study showed that hysteropexy with anterior vaginal native tissue repair may be an effective and safe option for the treatment of anterior vaginal prolapse and concomitant stage II uterine prolapse by at least 5 years of follow-up.
引用
收藏
页数:10
相关论文
共 50 条
  • [1] Vaginal cystocele repair and hysteropexy in women with anterior and central compartment prolapse: efficacy and safety after 30 months of follow-up
    Serati, Maurizio
    Braga, Andrea
    Cantaluppi, Simona
    Caccia, Giorgio
    Ghezzi, Fabio
    Sorice, Paola
    [J]. INTERNATIONAL UROGYNECOLOGY JOURNAL, 2018, 29 (06) : 831 - 836
  • [2] Vaginal cystocele repair and hysteropexy in women with anterior and central compartment prolapse: efficacy and safety after 30 months of follow-up
    Maurizio Serati
    Andrea Braga
    Simona Cantaluppi
    Giorgio Caccia
    Fabio Ghezzi
    Paola Sorice
    [J]. International Urogynecology Journal, 2018, 29 : 831 - 836
  • [3] RISK OF PROLAPSE RECURRENCE AFTER NATIVE TISSUE ANTERIOR PROLAPSE REPAIR WITH INTERMEDIATE TO LONG-TERM FOLLOW-UP
    Lavelle, Rebecca S.
    Christie, Alana L.
    Alhalabi, Feras
    Zimmern, Philippe E.
    [J]. NEUROUROLOGY AND URODYNAMICS, 2016, 35 : S84 - S84
  • [4] Effectiveness and safety of vaginal native tissue repair for anterior compartment prolapse
    Kijmanawat, A.
    Bartlett, Manonai J.
    [J]. INTERNATIONAL UROGYNECOLOGY JOURNAL, 2020, 31 (SUPPL 1) : S36 - S36
  • [5] Very long-term follow-up of the anterior vaginal wall suspension procedure for incontinence and/or prolapse repair
    Kuprasertkul, Amy
    Christie, Alana
    Alhalabi, Feras
    Zimmern, Philippe
    [J]. NEUROUROLOGY AND URODYNAMICS, 2019, 38 : S143 - S143
  • [6] Very long-term follow-up of the anterior vaginal wall suspension procedure for incontinence and/or prolapse repair
    Kuprasertkul, Amy
    Christie, Alana L.
    Alhalabi, Feras
    Zimmern, Philippe
    [J]. WORLD JOURNAL OF UROLOGY, 2021, 39 (02) : 533 - 542
  • [7] VERY LONG-TERM FOLLOW-UP OF THE ANTERIOR VAGINAL WALL SUSPENSION PROCEDURE FOR INCONTINENCE AND/OR PROLAPSE REPAIR
    Kuprasertkul, A.
    Christie, A.
    Alhalabi, F.
    Zimmern, P.
    [J]. NEUROUROLOGY AND URODYNAMICS, 2019, 38 : S77 - S78
  • [8] Very long-term follow-up of the anterior vaginal wall suspension procedure for incontinence and/or prolapse repair
    Amy Kuprasertkul
    Alana L. Christie
    Feras Alhalabi
    Philippe Zimmern
    [J]. World Journal of Urology, 2021, 39 : 533 - 542
  • [9] Long-term outcomes of vaginal mesh versus native tissue repair for anterior vaginal wall prolapse
    Michele Jonsson Funk
    Anthony G. Visco
    Alison C. Weidner
    Virginia Pate
    Jennifer M. Wu
    [J]. International Urogynecology Journal, 2013, 24 : 1279 - 1285
  • [10] Long-term outcomes of vaginal mesh versus native tissue repair for anterior vaginal wall prolapse
    Funk, Michele Jonsson
    Visco, Anthony G.
    Weidner, Alison C.
    Pate, Virginia
    Wu, Jennifer M.
    [J]. INTERNATIONAL UROGYNECOLOGY JOURNAL, 2013, 24 (08) : 1279 - 1285