Cargando…

Anatomical and Functional Outcomes of Posterior Intravaginal Slingplasty for the Treatment of Vaginal Vault or Uterine Prolapse: A Prospective, Multicenter Study

PURPOSE: We aimed to evaluate the anatomical and functional outcomes of posterior intravaginal slingplasty (P-IVS) for the treatment of a vaginal vault or uterine prolapse (VP/UP). MATERIALS AND METHODS: This was a 12-month prospective, multicenter, observational study. Women aged over 30 years who...

Descripción completa

Detalles Bibliográficos
Autores principales: Lee, Young-Suk, Han, Deok Hyun, Lee, Ji Youl, Kim, Joon Chul, Choo, Myung-Soo, Lee, Kyu-Sung
Formato: Texto
Lenguaje:English
Publicado: The Korean Urological Association 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2855447/
https://www.ncbi.nlm.nih.gov/pubmed/20414395
http://dx.doi.org/10.4111/kju.2010.51.3.187
_version_ 1782180181729869824
author Lee, Young-Suk
Han, Deok Hyun
Lee, Ji Youl
Kim, Joon Chul
Choo, Myung-Soo
Lee, Kyu-Sung
author_facet Lee, Young-Suk
Han, Deok Hyun
Lee, Ji Youl
Kim, Joon Chul
Choo, Myung-Soo
Lee, Kyu-Sung
author_sort Lee, Young-Suk
collection PubMed
description PURPOSE: We aimed to evaluate the anatomical and functional outcomes of posterior intravaginal slingplasty (P-IVS) for the treatment of a vaginal vault or uterine prolapse (VP/UP). MATERIALS AND METHODS: This was a 12-month prospective, multicenter, observational study. Women aged over 30 years who presented with stage II or greater VP/UP underwent P-IVS by four urologists at four university hospitals. Preoperatively, pelvic examination by use of the Pelvic Organ Prolapse Quantification (POP-Q) system, the Pelvic Floor Distress Inventory (PFDI) questionnaire, the 3-day frequency volume chart, and uroflowmetry were completed. At the 12-month follow-up, changes in the POP-Q, PFDI, frequency volume chart, and uroflowmetry parameters were assessed. Cure was defined as VP/UP stage 0 and improvement as stage I. RESULTS: The cure and improvement rates among the 32 women were 65.6% and 34.4%, respectively. All subscale scores of the Urinary Distress Inventory, the general subscale score of the Pelvic Organ Prolapse Distress Inventory, and the rectal prolapse subscale score of the Colo-Rectal-Anal Distress Inventory were significantly improved. There were no significant changes in the frequency volume chart or uroflowmetry parameters. There was one case of surgery-related transfusion. CONCLUSIONS: Trans-vaginal repair by P-IVS is an effective and safe procedure for restoring the anatomical defect and improving the associated pelvic floor symptoms in women with VP/UP.
format Text
id pubmed-2855447
institution National Center for Biotechnology Information
language English
publishDate 2010
publisher The Korean Urological Association
record_format MEDLINE/PubMed
spelling pubmed-28554472010-04-22 Anatomical and Functional Outcomes of Posterior Intravaginal Slingplasty for the Treatment of Vaginal Vault or Uterine Prolapse: A Prospective, Multicenter Study Lee, Young-Suk Han, Deok Hyun Lee, Ji Youl Kim, Joon Chul Choo, Myung-Soo Lee, Kyu-Sung Korean J Urol Original Article PURPOSE: We aimed to evaluate the anatomical and functional outcomes of posterior intravaginal slingplasty (P-IVS) for the treatment of a vaginal vault or uterine prolapse (VP/UP). MATERIALS AND METHODS: This was a 12-month prospective, multicenter, observational study. Women aged over 30 years who presented with stage II or greater VP/UP underwent P-IVS by four urologists at four university hospitals. Preoperatively, pelvic examination by use of the Pelvic Organ Prolapse Quantification (POP-Q) system, the Pelvic Floor Distress Inventory (PFDI) questionnaire, the 3-day frequency volume chart, and uroflowmetry were completed. At the 12-month follow-up, changes in the POP-Q, PFDI, frequency volume chart, and uroflowmetry parameters were assessed. Cure was defined as VP/UP stage 0 and improvement as stage I. RESULTS: The cure and improvement rates among the 32 women were 65.6% and 34.4%, respectively. All subscale scores of the Urinary Distress Inventory, the general subscale score of the Pelvic Organ Prolapse Distress Inventory, and the rectal prolapse subscale score of the Colo-Rectal-Anal Distress Inventory were significantly improved. There were no significant changes in the frequency volume chart or uroflowmetry parameters. There was one case of surgery-related transfusion. CONCLUSIONS: Trans-vaginal repair by P-IVS is an effective and safe procedure for restoring the anatomical defect and improving the associated pelvic floor symptoms in women with VP/UP. The Korean Urological Association 2010-03 2010-03-19 /pmc/articles/PMC2855447/ /pubmed/20414395 http://dx.doi.org/10.4111/kju.2010.51.3.187 Text en Copyright © The Korean Urological Association, 2010 http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Lee, Young-Suk
Han, Deok Hyun
Lee, Ji Youl
Kim, Joon Chul
Choo, Myung-Soo
Lee, Kyu-Sung
Anatomical and Functional Outcomes of Posterior Intravaginal Slingplasty for the Treatment of Vaginal Vault or Uterine Prolapse: A Prospective, Multicenter Study
title Anatomical and Functional Outcomes of Posterior Intravaginal Slingplasty for the Treatment of Vaginal Vault or Uterine Prolapse: A Prospective, Multicenter Study
title_full Anatomical and Functional Outcomes of Posterior Intravaginal Slingplasty for the Treatment of Vaginal Vault or Uterine Prolapse: A Prospective, Multicenter Study
title_fullStr Anatomical and Functional Outcomes of Posterior Intravaginal Slingplasty for the Treatment of Vaginal Vault or Uterine Prolapse: A Prospective, Multicenter Study
title_full_unstemmed Anatomical and Functional Outcomes of Posterior Intravaginal Slingplasty for the Treatment of Vaginal Vault or Uterine Prolapse: A Prospective, Multicenter Study
title_short Anatomical and Functional Outcomes of Posterior Intravaginal Slingplasty for the Treatment of Vaginal Vault or Uterine Prolapse: A Prospective, Multicenter Study
title_sort anatomical and functional outcomes of posterior intravaginal slingplasty for the treatment of vaginal vault or uterine prolapse: a prospective, multicenter study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2855447/
https://www.ncbi.nlm.nih.gov/pubmed/20414395
http://dx.doi.org/10.4111/kju.2010.51.3.187
work_keys_str_mv AT leeyoungsuk anatomicalandfunctionaloutcomesofposteriorintravaginalslingplastyforthetreatmentofvaginalvaultoruterineprolapseaprospectivemulticenterstudy
AT handeokhyun anatomicalandfunctionaloutcomesofposteriorintravaginalslingplastyforthetreatmentofvaginalvaultoruterineprolapseaprospectivemulticenterstudy
AT leejiyoul anatomicalandfunctionaloutcomesofposteriorintravaginalslingplastyforthetreatmentofvaginalvaultoruterineprolapseaprospectivemulticenterstudy
AT kimjoonchul anatomicalandfunctionaloutcomesofposteriorintravaginalslingplastyforthetreatmentofvaginalvaultoruterineprolapseaprospectivemulticenterstudy
AT choomyungsoo anatomicalandfunctionaloutcomesofposteriorintravaginalslingplastyforthetreatmentofvaginalvaultoruterineprolapseaprospectivemulticenterstudy
AT leekyusung anatomicalandfunctionaloutcomesofposteriorintravaginalslingplastyforthetreatmentofvaginalvaultoruterineprolapseaprospectivemulticenterstudy