Short-term results of posterior intravaginal slingplasty in grade 4 uterine prolapse.
OBJECTIVE
The purpose of this study was to evaluate the short-term efficacy and complication rates of posterior intravaginal slingplasty (IVS) procedures.


METHODS
Thirty-four patients who had advanced (grade 4) uterine prolapse were recruited. All patients underwent vaginal hysterectomy and the cuff was suspended with a posterior IVS operation. The mean follow-up duration was 12 months (range 3-20 months).


RESULTS
Thirty-three patients (97.1%) had satisfactory level I support defined objectively as stage 0 or I for point C as described in the pelvic organ prolapse quantification system. There were no rectal, vesical, ureteric, or vascular injuries in this series. During the postoperative period no complications, including tape erosion, were seen.


CONCLUSIONS
Posterior IVS is a minimally invasive procedure for grade 4 genital prolapse with a high success rate.
Department of Obstetrics and Gynaecology, Medical Faculty, Yuzuncu Yil University, Van, Turkey. dralikolusari@yahoo.com
Ali
A
Kolusari
Recep
R
Yildizhan
Ertan
E
Adali
Mertihan
M
Kurdoglu
H Guler
HG
Sahin
Mansur
M
Kamaci
Akin
A
Sivaslioglu
D000368:Aged; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D007045:Hysterectomy, Vaginal; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D013526:Surgical Mesh; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000601:surgery*