title: Bilateral anterior sacrospinous ligament suspension  associated with a paravaginal repair with mesh: short-term  clinical results of a pilot study.
abstract: OBJECTIVE
  This study aims to assess anatomical and functional results of bilateral anterior sacrospinous ligament suspension associated with paravaginal repair with mesh.
  
  
  METHODS
  Forty-eight patients were operated between March 2007 and August 2008. Mean age was 67 years old. Nineteen patients (39.6%) had been previously operated for a genital prolapse. All patients had both anterior vaginal wall prolapse and a level 1 defect; stage 2 to 4 (POP-Q).
  
  
  RESULTS
  Median follow-up is 8 months (range 1 to 18). Perioperative complications were: one bladder injury (2.1%), three haematomas (6.3%), two ureteral kinking (4.2%) and two sciatic pain (4.2%). Anatomical success was observed in 47/48 patients (97.9%) for uterine or vaginal vault prolapse and 46/48 patients (95.8%) for anterior vaginal wall prolapse.
  
  
  CONCLUSIONS
  This procedure is a challenging surgical technique requiring a significant level of skill and training, which yields a very high success rate; however, it is not without potential ureteral and neurologic complications.
authors.affiliation: Obstetrics and Gynaecology Department, Caremeau University Hospital, Place du Pr Robert Debré, 30029 Nîmes Cedex 9, France. renaud.detayrac@chu-nimes.fr
authors.forename: Renaud
authors.initials: R
authors.lastname: de Tayrac
authors.forename: Laurent
authors.initials: L
authors.lastname: Boileau
authors.forename: Jean-François
authors.initials: JF
authors.lastname: Fara
authors.forename: François
authors.initials: F
authors.lastname: Monneins
authors.forename: Charles
authors.initials: C
authors.lastname: Raini
authors.forename: Pierre
authors.initials: P
authors.lastname: Costa
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D008022:Ligaments / Q000601:surgery*; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D010865:Pilot Projects; D011126:Polypropylenes / Q000627:therapeutic use; D013526:Surgical Mesh; D016896:Treatment Outcome
chemical_list: D011126:Polypropylenes