Vaginal Wall Prolapse Repair Research Articles

Application of Gamma Irradiated Amniotic Membrane as a Scaffold in Surgical Repair of Vaginal Wall Prolapse.

Application of Gamma Irradiated Amniotic Membrane as a Scaffold in Surgical Repair of Vaginal Wall Prolapse.

Robotically assisted laparoscopic repair of anterior vaginal wall and uterine prolapse by lateral suspension with mesh: our experience

Robotically assisted laparoscopic repair of anterior vaginal wall and uterine prolapse by lateral suspension with mesh: our experience

Mesh repair of vaginal wall prolapse

BackgroundOver the last decade, mesh augmented surgical repair is being increasingly used in pelvic organ prolapse. Perigee and Apogee are comprehensive, single-use needle suspension kits that provide a standardized delivery method for mesh or graft-augmented repairs. This study has been carried out to study the safety and efficacy of the Perigee and Apogee mesh repair systems. Methods10 cases of posterior vaginal wall prolapse with or without Apical prolapse underwent Apogee mesh repair surgery and 10 cases of anterior vaginal wall prolapse underwent Perigee mesh repair surgery. Depending on the findings either Apogee or Perigee or both were used. Patients were followed up for complications of the surgery if any, and for the relief of the symptoms related to prolapse and associated symptoms of bowel/bladder dysfunction. Objective cure rate was prolapse < stage 1 as per the POPQ system. Data collected was statistically analyzed. ResultsThe objective and subjective cure rates were 100%. Postoperative complications were minor. No patient developed de novo urinary urge symptoms, stress urinary incontinence or UTI postoperatively. There were no operative complications like bladder injuries, hematoma and rectal injuries. The mean blood loss was 180 ml and the mean duration of surgery during the Apogee and Perigee mesh repair was 51.5 ± 2.99 min and 60.9 ± 4.65 min respectively. ConclusionIn the present study there was a significant improvement in the degree of prolapse after the mesh repair surgeries and the results were consistent even at 12 months follow up.

Risk Factors for Mesh Complications After Trocar Guided Transvaginal Mesh Kit Repair of Anterior Vaginal Wall Prolapse

Risk Factors for Mesh Complications After Trocar Guided Transvaginal Mesh Kit Repair of Anterior Vaginal Wall Prolapse

O137 The safety and success of early discharge or day case surgery for the repair of vaginal wall prolapse

O137 The safety and success of early discharge or day case surgery for the repair of vaginal wall prolapse

POS-01.14: Vaginal wall prolapse repair with and withot meshes: A global analysis of impact on symptons, quality of life and sexuality

POS-01.14: Vaginal wall prolapse repair with and withot meshes: A global analysis of impact on symptons, quality of life and sexuality

60 A novel transobturator system for the repair of anterior vaginal wall prolapse: A pilot study

60 A novel transobturator system for the repair of anterior vaginal wall prolapse: A pilot study

Repair of Severe Anterior Vaginal Wall Prolapse (Grade IV Cystourethrocele)

The classical approach for the repair of severe anterior vaginal wall prolapse is the use of transvaginal colporrhaphy or, more recently, an abdominal paravaginal repair. Severe cystoceles develop from weaknesses of the levator sling and pubocervical fasciae resulting in 2 main anatomical changes: a central defect between the pubocervical fasciae, and a sliding herniation of the bladder and urethra (paravaginal defect). We developed a new transvaginal technique for the repair of large cystoceles (grade IV) extending outside of the introitus at rest, which includes repair of the central defect by anterior colporrhaphy, and repair of the paravaginal herniation of the bladder base and bladder neck by a needle suspension of these structures. We report our experience within a 5-year period in the treatment of 51 cases of severe bladder prolapse (grade IV cystoceles), 46 of which required this combined procedure regardless of preoperative stress urinary incontinence status. Five patients underwent anterior colporrhaphy as the only procedure, since they were continent and demonstrated a well supported bladder neck from a previous suspension operation. Other vaginal abnormalities should be repaired simultaneously to provide adequate pelvic floor support.