Bilateral bone anchor vaginal vault suspension: an initial report of a new technique.
Vaginal vault prolapse is usually treated by sacrospinous fixation. Although this procedure is very effective, it is associated with various complications that include injury to the pudendal neurovascular structures, the sciatic nerve, and/or chronic gluteal pain. A safer and simpler modification of sacrospinous vaginal vault suspension using the Vesica bone anchor kit is reported. Vaginal vault prolapse was corrected in six patients by suspending the apex of the vaginal vault to the ischial spine with Vesica bone anchors. Bladder neck suspension and correction of other vault pathology was performed at the same time. All patients had complete relief of their prolapse and have demonstrated no recurrence during the brief mean follow-up period of 7 months.
Shetty
S D
SD
Department of Urology, Henry Ford Hospital, Detroit, Michigan 48202, USA.
Kirkemo
A K
AK
D000368:Aged; D001863:Bone Screws; D002081:Buttocks / Q000293:injuries; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D007512:Ischium / Q000601:surgery*; D008022:Ligaments / Q000601:surgery; D010149:Postoperative Pain / Q000517:prevention & control; D010388:Pelvis / Q000098:blood supply / Q000294:innervation; D012008:Recurrence; D012584:Sciatic Nerve / Q000293:injuries; D013536:Suture Techniques / Q000295:instrumentation; D001743:Urinary Bladder / Q000601:surgery; D014549:Urinary Incontinence / Q000601:surgery; D014596:Uterine Prolapse / Q000601:surgery*