V267 TOTAL UTILIZATION OF RETROPERITONEUM FOR COLPOPEXY (TURC) FOR THE TREATMENT OF ADVANCED UTEROVAGINAL AND VAULT PROLAPSE: MIDTERM RESULTS

Abstract

You have accessJournal of UrologyFemale Voiding Dysfunction (Pelvic Reconstruction & Incontinence)1 Apr 2013V267 TOTAL UTILIZATION OF RETROPERITONEUM FOR COLPOPEXY (TURC) FOR THE TREATMENT OF ADVANCED UTEROVAGINAL AND VAULT PROLAPSE: MIDTERM RESULTS Sinasi Yavuz Onol, Fikret Fatih Onol, Mehmet Remzi Erdem, Abdulkadir Tepeler, and Abdullah Armagan Sinasi Yavuz OnolSinasi Yavuz Onol Istanbul, Turkey More articles by this author , Fikret Fatih OnolFikret Fatih Onol Istanbul, Turkey More articles by this author , Mehmet Remzi ErdemMehmet Remzi Erdem Istanbul, Turkey More articles by this author , Abdulkadir TepelerAbdulkadir Tepeler Istanbul, Turkey More articles by this author , and Abdullah ArmaganAbdullah Armagan Istanbul, Turkey More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.1650AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES We report midterm outcomes of larger series of the patients underwent TURC. Total Utilization of Retroperitoneum for Colpopexy (TURC) has been reported as a new technique with minimal morbidity and less operative time compared to abdominal intraperitoneal sacrocolpopexy in the treatment of advanced prolapses. METHODS 58 consecutive patients with advanced uterovaginal/vaginal cuff prolapsed (grades III–IV according to POP-Q system) underwent TURC between July 2007 and September 2012. The steps of the procedure include: 1.Mobilization and medialization of right pelvic parietal peritoneum through pfannenstiel incision, 2.Visualization of promontorium and fixation of mesh to anterior longitudinal ligament 3.Lateralization of right ureter to prevent kinking and compression,4.Separation of peritoneum from the bladder wall,5. Dissection of anterior and lateral vaginal from the bladder, 6.Fixation of mesh to anterolateral vaginal wall. Pre-operative findings were compared with postoperative values at the last follow-up using the Wilcoxon sign test. RESULTS Mean age of patients was 53,4 (29–78) years. Mean operation time was 41,7 (25–90) minutes. All patients were discharged from the hospital within 24 hours. Urethral catheter was removed before the discharge from the hospital except one who had bladder perforation. The catheter was removed on 6th day in this patient without any subsequent complications.With a median follow up of 24 months,96.5% (56/58) of patients were objectively cured, and subjective cure rate was 93.1% (54/58). All patients had significant improvement in the PFDI-SF20,PFIQ-7 scores and POP-Q measurements at the last follow-up. Post-operative GIS complications were not encountered in any case. CONCLUSIONS Our midterm results confirm that TURC is a safe, feasible and effective technique and one-day procedure with no GIS complications and less comorbidity compared to intraperitoneal sacrocolpopexy. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e109 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Sinasi Yavuz Onol Istanbul, Turkey More articles by this author Fikret Fatih Onol Istanbul, Turkey More articles by this author Mehmet Remzi Erdem Istanbul, Turkey More articles by this author Abdulkadir Tepeler Istanbul, Turkey More articles by this author Abdullah Armagan Istanbul, Turkey More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...