Transperineal bilateral sacrospineous colpofixation for the treatment of female genital prolapse – 5-year results

Journal Title: Pelviperineology - Year 2020, Vol 39, Issue 2

Abstract

Objective: Female genital prolapse is observed with increasing frequency in the era of large aging populations. Various surgical techniques have been established, varying in performance, difficulty and outcome, specifically complications. In order to optimize both aspects, we have developed a refined transperineal bilateral sacrospineous colpofixation technique (TPBCF) and given a detailed, step-by-step description of the technique. Materials and Methods: In a study of 162 patients with vaginal prolapse surgical and functional outcomes of TPBCF have been evaluated with 5-year follow-up. Results: No rectal injury was observed re-intervention for any complications was limited to three erosions with only one requiring resection of 2 cm of tape in the median position followed by successful re-closure. Prolapse correction was found at 5 years to be 61% POPQ 0 and 39% POPQ1. Conclusion: These results were stable when compared with follow-up data at 6 months postoperatively. The authors conclude, that TPBCF is an efficient minimally invasive technique for the treatment of female genital prolapse with a favourable effect/complication ratio.

Authors and Affiliations

FRANZISKA C. HEMPTENMACHER, STEFAN OLLIG, ANDREAS SÜSSE, DIRK G. KIEBACK

Keywords

Related Articles

Slings operations work very differently from mesh sheet implantations and should not be banned

Baroness Cumberlage has overreacted banning midurethral slings along with mesh sheets placed behind the vagina. We should all support the banning of mesh sheets. Midurethral and other slings work differently from mesh w...

Teaching module for three midurethral sling complications Knowledge of urethral closure/opening mechanisms and pathogenesis of SUI informs management of “difficult” cases

We begin this teaching module with a short summary of the mechanism of urethral closure as originally presented in the 1990 “Integral Theory of Female Urinary Incontinence”, the relative roles of muscles and ligaments, h...

Does acupuncture have any effect on obstructed defecation syndrome?

Objective: Obstructed defecation syndrome (ODS) is a group of symptoms that are mainly caused by pelvic floor dysfunction concerning bowel symptoms. It is challenging in clinical practice. Acupuncture has advantages in t...

Anatomical outcomes of laparoscopic high uterosacral ligament suspension for primary apical prolapse

Objective: We aimed to evaluate the short-term anatomical results of laparoscopic high uterosacral ligament suspension (LHUSLS) in the surgical treatment of apical prolapse. Materials and Methods: Medical records of thi...

Motivators of seeking pelvic floor physical therapy in ultraorthodox Jewish women

Objective:Almost 50% of women with one or more children experience pelvic organ prolapse, and physical therapy for pelvic floor rehabilitation is one of the first-line treatments for women with pelvic organ prolapse seek...

Download PDF file
  • EP ID EP684421
  • DOI 10.34057/PPj.2020.39.02.006
  • Views 253
  • Downloads 0

How To Cite

FRANZISKA C. HEMPTENMACHER, STEFAN OLLIG, ANDREAS SÜSSE, DIRK G. KIEBACK (2020). Transperineal bilateral sacrospineous colpofixation for the treatment of female genital prolapse – 5-year results. Pelviperineology, 39(2), -. https://europub.co.uk/articles/-A-684421