title: Posterior intravaginal slingplasty: efficacy and complications in a continuous series of 118 cases.
abstract: OBJECTIVE
  Posterior intravaginal slingplasty (PIVS) is a minimally invasive procedure that aims to suspend vaginal vault. Our study evaluated efficacy and complications of PIVS at long-term follow-up.
  
  
  METHODS
  One hundred eighteen consecutive women underwent PIVS operation for Pelvic Organ Prolapse Quantification stage 3 or 4 vaginal cuff prolapse (VCP; 25 patients) or utero-vaginal prolapse (UVP; 93 patients). Apical vaginal wall at stage 0 or 1 was considered as cured.
  
  
  RESULTS
  Follow-up mean duration was 58.6 months (range, 24-84 months). The success rate of PIVS was 96.6%. Some 8.5% mesh erosion (20% in patients with VCP and 5.4% with UVP), 2.5% vaginal-perineal fistula, and 3.4% paravaginal hematoma occurred. Neither erosion nor fistulas occurred with monofilament polypropylene mesh.
  
  
  CONCLUSIONS
  PIVS seems a safe and effective procedure for VCP and UVP. Vaginal erosion was mainly observed in patients with VCP treated with multifilament polypropylene mesh.
authors.affiliation: Department of Gynecology and Obstetrics, University of Turin, Turin, Italy. cosmastefano@libero.it
authors.forename: Stefano
authors.initials: S
authors.lastname: Cosma
authors.forename: Mario
authors.initials: M
authors.lastname: Preti
authors.forename: Marco
authors.initials: M
authors.lastname: Mitidieri
authors.forename: Paolo
authors.initials: P
authors.lastname: Petruzzelli
authors.forename: Federica
authors.initials: F
authors.lastname: Possavino
authors.forename: Guido
authors.initials: G
authors.lastname: Menato
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000295:instrumentation* / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation / Q000379:methods; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D011788:Quality of Life; D012189:Retrospective Studies; D053825:Suburethral Slings / Q000009:adverse effects; D013525:Surgical Instruments; D016896:Treatment Outcome