Effectiveness of the McCall culdeplasty in maintaining support after vaginal hysterectomy.
The aim of this study was to evaluate the effectiveness of a McCall culdeplasty in maintaining support of the post-hysterectomy vaginal cuff in women undergoing surgery for uterine prolapse. A retrospective chart review was performed on all patients who had a vaginal hysterectomy and McCall culdeplasty for uterine prolapse without prolapse of the posterior vaginal fornix. Patients were examined pre- and postoperatively using the International Continence Society (ICS) staging system. Data were analyzed using repeated measures analysis of variance (ANOVA) for correlation between preoperative point D and the two postoperative point C measurements. Of the 43 patients studied, 39 (90%) had stage 0 prolapse and 3 (7%) had stage I prolapse of the vaginal cuff 1 year postoperatively. In patients who have hysterectomies for uterine prolapse with good support of the posterior vaginal fornix, the McCall culdeplasty is a highly successful procedure in maintaining proper anatomic support of the vaginal cuff.
Montella
Joseph M
JM
Department of Obstetrics and Gynecology, Jefferson Medical College, Philadelphia, PA 19107, USA. joseph.montella@jefferson.edu
Morrill
Michelle Y
MY
D000328:Adult; D000368:Aged; D005260:Female; D006547:Hernia / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D008875:Middle Aged; D012189:Retrospective Studies; D013536:Suture Techniques; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000601:surgery*; D014621:Vagina / Q000473:pathology / Q000601:surgery*