Repair of prolapse with vaginal sacrocolporectopexy: technique and results.
OBJECTIVE
Axis and support of the vagina can be restored by sacrocolporectopexy with preservation of coital function. We developed a new technique of transvaginal sacrocolporectopexy for patients with prolapse of uterus and vagina or prolapse of the vaginal vault.


METHODS
During a 4-year period, 20 patients with vaginal vault prolapse and 83 patients with uterine and vaginal prolapse underwent transvaginal sacrocolporectopexy. Intra- and postoperative complications were recorded. After a mean follow-up period of 24 months (6-48), the result of surgery with respect to prolapse, incontinence, and sexuality was evaluated by patient interviews.


RESULTS
No serious perioperative complications occurred with the exception of one patient with bleeding from a presacral vein. Subjectively, 84 patients (82%) were cured of prolapse symptoms. One patient had recurrent grade II vault prolapse and four patients developed a grade II rectocele. Five patients developed urge incontinence grade I. One patient developed fecal incontinence. No patient had coital problems as a sequelae of sacrocolporectopexy.


CONCLUSIONS
Transvaginal sacrocolporectopexy is a safe procedure with a success rate comparable to sacrospinous fixation.
Kavallaris
Andreas
A
Department of Gynecology, Friedrich Schiller University, Jena, Germany.
Köhler
Christhardt
C
Diebolder
Herbert
H
Vercellino
Filiberto
F
Krause
Norman
N
Schneider
Achim
A
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003127:Colposcopy / Q000379:methods*; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008875:Middle Aged; D011183:Postoperative Complications; D012189:Retrospective Studies; D013536:Suture Techniques; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000601:surgery; D014596:Uterine Prolapse / Q000601:surgery*; D014621:Vagina / Q000601:surgery