Perioperative performance of a new Pelvic Organ Prolapse Suspension (POPS) for vaginal vault prolapse

Lucio Ma Cipullo,Gianmario E Poto,Slobodan Milosavljevic,Maurizio Guida,Vincenzo Altieri

doi:10.15761/ogr.1000144

Abstract

Perioperative performance of a new Pelvic Organ Prolapse Suspension (POPS) for vaginal vault prolapse

Highlights

Pelvic Organ Prolapse (POP) is a relentless increase condition, impacting on quality of life when affecting physical performances, emotional reactions and sleep status, giving pain or conditioning social isolation
The technique is easy to perform when compared to traditional treatments, offering a relevant reduction of the Pelvic Organ Prolapse (POP) and the complete disappearance of the preoperative symptomatology in most women
All 42 patients had previously undergone a hysterectomy: 22 had undergone an Abdominal Hysterectomy (AH) (52.4%), 10 a Vaginal Hysterectomy (VH) (23.8%), 7 a Total Laparoscopic Hysterectomy (TLH) (16.7%), 3 a Laparoscopy Assisted Vaginal Hysterectomy (LAVH) (7.1%). 4 (9.5%) women had never experience a pregnancy while 28 women (66.6%) were multiparous

Summary

Introduction

Pelvic Organ Prolapse (POP) is a relentless increase condition, impacting on quality of life when affecting physical performances, emotional reactions and sleep status, giving pain or conditioning social isolation. Lifetime risk of undergoing surgery for a pelvic floor disorder is around 11%, with a reoperation rate for recurrence of 29,2% [1]. Increase in the average age of the female population, pregnancy, childbirth, obesity and genetics have all been cited as aetiological factors [2]. Way of previous hysterectomy (abdominal or vaginal) doesn’t influence the occurrence of the disorder [5]. Management of vaginal vault prolapse depends on the age at presentation, comorbidity (which may impact on the choice of surgery), desire to preserve sexual function and to obtain satisfactory aesthetic outcomes

Methods

Results

Conclusion