Case Report
BibTex RIS Cite

Surgical Kit Usage for the Treatment of Vaginal Vault Prolapse: Case Report

Year 2009, Volume: 3 Issue: 1, 40 - 44, 19.03.2009

Işık Üstüner

Abstract

We aimed to present a case of posterior intravaginal slingplasty for vaginal vault prolapse and review the surgical technique and literature. 65- year-old female patient presented to our urogynecology outpatient care clinic with vaginal mass protrusion during straining and standing for the last 6 months. She was diagnosed as stage III vaginal vault prolapse. According to POP-Q.staging system classified as Aa = -2, Ba= -2, C = +7, Ap= +3, Bp= +4, TVL= 7.5, gh = 4.5, and pb= 5.5. Posterior intravaginal slingoplasty was executed on the case with the indication of vaginal vault prolapse using macropore, monofilament polypropylene mesh surgical kit. Surgical management in vaginal vault prolapse should be chosen in consensus with the patient by assessing the cure and the complication rates of all alternatives. Randomized large scale controlled studies with long followup is needed to confirm the efficiency and reliability of surgical kit use in vaginal vault prolapse

Keywords

Prolapse; polypropylenes; surgical mesh Vaginal Vault Prolapse Surgical Kit Usage for the Treatment

References

  • 1. Gala RB, Yavagal S, Siddighi S. Surgical management of apical and posterior wall prolapse. In: Siddighi S, Hardesty JS, eds. Urogynecology and Female Pelvic Reconstructive Surgery, Just The Facts. 1s! ed. The Mcgraw-Hill companies. 2006;5(18):128-36.
  • 2. Marchionni M, Bracco GL, Checcucci V, Cara-baneanu A, Coccia EM, Mecacci F et al. Tru-e incidence of vaginal vault prolapse. Thirteen years of experience. J Reprod Med 1999; 44(8):679-84.
  • 3. Arbel R, Lavy Y. Vaginal vault prolapse: choice of operation. Best Pract Res Clin Obstet Gynaecol 2005;19(6):959-77.
  • 4. Maher CF, Qatawneh AM, Dwyer PL, Carey MP, Cornish A, Schluter PJ. Abdominal sacral colpopexy or vaginal sacrospinous colpopexy for vaginal vault prolapse: a prospective randomized study. Am J Obstet Gynecol 2004; 190(1):20-6.
  • 5. Beer M, Kuhn A. Surgical techniques for vault prolapse: a review of the literature. Eur J Obstet Gynecol Reprod Biol 2005;119(2):144-155.
  • 6. Carey MP, Dwyer PL. Genital prolapse: vaginal versus abdominal route of repair. Curr Opin Obstet Gynecol 2001;13(5):499-505.
  • 7. Maher C, Baessler K, Glazener CM, Adams EJ, Hagen S. Surgical management of pelvic organ prolapse in women. Cochrane Database Syst Rev. 2007;18(3):CD004014.
  • 2004;44(2): 135-9.
  • 9. Nichols DH. Sacrospinous fixation for massive eversion of the vagina. Am J Obstet Gynecol 1982;142(7):901-904.
  • 10. Morley GW, DeLancey JO. Sacrospinous lig- ament fixation for eversion of the vagina. Am J Obstet Gynecol 1988; 158(4) :872-881.
  • 11. Lovatsis D, Drutz H. Vaginal surgical approach to vaginal vault prolapse: considerations of anatomic correction and safety. Curr Opin Obstet Gynecol 2003; 15(5):435-437.
  • 12. Webb MJ, Aronson MP, Ferguson LK, Lee RA. Posthysterectomy vaginal vault prolapse: primary repair in 693 patients. Obstet Gynecol 1998;92(2):281-285.
  • 13. Petros PE. Vault prolapse II: restoration of dynamic vaginal supports by infracoccygeal sac-ropexy, an axial day-case vaginal procedure. Int Urogynecol J Pelvic Floor Dysfunct 2001;12(5):296-303.
  • 14. Bump RC, Mattiasson A, Bo K, Brubaker LP, DeLancey JO, Klarskov P. et al. The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 1996; 175(1): 10-7.
  • 15. DeLancey JO. Anatomic aspects of vaginal eversion after hysterectomy. Am J Obstet Gynecol 1992;166:1717-1724.
  • 16. Farnsworth B. Posterior IVS for vault suspension: a re-evaluation. Pelviperineology 2007; 26:70-73.
  • 17. Petros PE. Re. Posterior IVS for vault suspension: A re-evaluation. Letter to the Editor. Pelviperineology 2007;26:136-38.
  • 18. Farnsworth BN. Posterior intravaginal slingplasty (infracoccygeal sacropexy) for severe posthysterectomy vaginal vault prolapse-a preliminary report on efficacy and safety. Int Urogynecol J Pelvic Floor Dysfunct 2002; 13(1):4-8.
  • 19. Sivaslioglu AA, Gelişen O, Dolen I, Dede H, Dilbaz S, Haberal A. Posterior sling (infracoccygeal sacropexy): An alternative procedure for vaginal vault prolapse. Aust N Z J Obstet Gynaecol 2005;45(2): 159-160.
  • 20. Feiner B, Jelovsek JE, Maher C. Efficacy and safety of transvaginal mesh kits in the treatment of prolapse of the vaginal apex: a systematic review. BJOG 2009;116(1): 15-24.
  • 21. Meschia M, Barbacini P, Longatti D, Gattei U, Pifarotti P. Randomized comparison between Infracoccygeal Sacropexy (Posterior IVS) and Sacrospinous ligament fixation in the management of vault prolapse International Urogy-necological Association (30th Annual Meeting); August 2005; Copenhagen (Denmark); Abstract number 85.
  • 22. de Tayrac R, Bader G, Deffieux X, Fazel A, Mathe M, Fernandez H. A prospective randomized study comparing posterior IVS and Sacrospinous suspension for the surgical treatment of uterine or vaginal vault prolapse. International Urogynecological Association (31st Annual Meeting); September 2006; Athens (Greece); Abstract number 317.
  • 23. Grynberg M, Teyssedre J, Staerman F. Glu-teo-vaginal fistula after posterior intravaginal slingplasty: a case report. Int Urogynecol J Pelvic Floor Dysfunct 2008 Nov 11. [Epub ahead of print].
  • 24. Mikos T, Tsalikis T, Papanikolaou A, Pourna-ropoulos F, Bontis JN. Gluteo-vaginal sinus formation complicating posterior intravaginal slingplasty followed by successful IVS removal. A case report and review of the literature. Int Urogynecol J Pelvic Floor Dysfunct 2008;19(3):449-52.
  • 25. Fatton B, Amblard J, Debodinance P, Cosson M, Jacquetin B. Transvaginal repair of genital prolapse: preliminary results of a new tension-free vaginal mesh (Prolift technique)—a case series multicentric study. Int Urogynecol J Pelvic Floor Dysfunct 2007;18:743-52.
  • 26. Güner H, Güler İ. Transvaginal approaches to uterin and vault prolapse. Türkiye Klinikleri J Surg Med Sci 2007; 3(48):70-6.

Vajinal Kaf Prolapsus Tedavisinde Cerrahi Kit Kullanımı

Year 2009, Volume: 3 Issue: 1, 40 - 44, 19.03.2009

Işık Üstüner

Abstract

Bu yazıda amacımız, vaginal kaf prolapsusu nedeniyle bir olguya uyguladığımız posterior intravajinal slingoplasti operasyonunu sunmak, cerrahi tekniği ve literatürü gözden geçirmektir. Altmış beş yaşında olan hasta yaklaşık 6 aydan beri ayakta dururken ve ıkındığında vajenden eline kitle gelmesi, idrarını tam boşaltamama ve idrar yapmada zorluk şikâyetiyle ürojinekoloji polikliniğimize başvurdu. Olguya evre III vajinal kaf prolapsusu tanısı kondu. POP-Qsınıflama sistemine göre Aa = -2, Ba = -2, C = +7, Ap= +3, Bp= +4, TVL= 7.5, gh = 4.5, pb= 5.5 idi. Olguya vajinal kaf prolapsusu endikasyonuyla makroporlu, monofilament polipropilen meş cerrahi kiti ile posterior intravajinal slingoplasti uygulandı. Vajinal kaf prolapsusu tedavisinde yapılabilecek en uygun cerrahi, hastaya bütün seçenekler kür ve komplikasyon oranları ile birlikte sunularak, hasta ile ortak bir kararla seçilmelidir. Vajinal kaf prolapsusunda cerrahi kit kullanımının etkinliği ve güvenilirliği doğrulayabilmek için uzun takip süreli ve geniş ölçekli randomize kontrollü çalışmalara ihtiyaç bulunmaktadır.

Dr. Işık ÜSTÜNER , Dr. A. Akın SİVASLIOĞLU, Dr. A.Filiz AVŞAR

Keywords

Prolapsus; polipropilen; cerrahi meş Vajinal Kaf Prolapsus Cerrahi Kit

References

  • 1. Gala RB, Yavagal S, Siddighi S. Surgical management of apical and posterior wall prolapse. In: Siddighi S, Hardesty JS, eds. Urogynecology and Female Pelvic Reconstructive Surgery, Just The Facts. 1s! ed. The Mcgraw-Hill companies. 2006;5(18):128-36.
  • 2. Marchionni M, Bracco GL, Checcucci V, Cara-baneanu A, Coccia EM, Mecacci F et al. Tru-e incidence of vaginal vault prolapse. Thirteen years of experience. J Reprod Med 1999; 44(8):679-84.
  • 3. Arbel R, Lavy Y. Vaginal vault prolapse: choice of operation. Best Pract Res Clin Obstet Gynaecol 2005;19(6):959-77.
  • 4. Maher CF, Qatawneh AM, Dwyer PL, Carey MP, Cornish A, Schluter PJ. Abdominal sacral colpopexy or vaginal sacrospinous colpopexy for vaginal vault prolapse: a prospective randomized study. Am J Obstet Gynecol 2004; 190(1):20-6.
  • 5. Beer M, Kuhn A. Surgical techniques for vault prolapse: a review of the literature. Eur J Obstet Gynecol Reprod Biol 2005;119(2):144-155.
  • 6. Carey MP, Dwyer PL. Genital prolapse: vaginal versus abdominal route of repair. Curr Opin Obstet Gynecol 2001;13(5):499-505.
  • 7. Maher C, Baessler K, Glazener CM, Adams EJ, Hagen S. Surgical management of pelvic organ prolapse in women. Cochrane Database Syst Rev. 2007;18(3):CD004014.
  • 2004;44(2): 135-9.
  • 9. Nichols DH. Sacrospinous fixation for massive eversion of the vagina. Am J Obstet Gynecol 1982;142(7):901-904.
  • 10. Morley GW, DeLancey JO. Sacrospinous lig- ament fixation for eversion of the vagina. Am J Obstet Gynecol 1988; 158(4) :872-881.
  • 11. Lovatsis D, Drutz H. Vaginal surgical approach to vaginal vault prolapse: considerations of anatomic correction and safety. Curr Opin Obstet Gynecol 2003; 15(5):435-437.
  • 12. Webb MJ, Aronson MP, Ferguson LK, Lee RA. Posthysterectomy vaginal vault prolapse: primary repair in 693 patients. Obstet Gynecol 1998;92(2):281-285.
  • 13. Petros PE. Vault prolapse II: restoration of dynamic vaginal supports by infracoccygeal sac-ropexy, an axial day-case vaginal procedure. Int Urogynecol J Pelvic Floor Dysfunct 2001;12(5):296-303.
  • 14. Bump RC, Mattiasson A, Bo K, Brubaker LP, DeLancey JO, Klarskov P. et al. The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 1996; 175(1): 10-7.
  • 15. DeLancey JO. Anatomic aspects of vaginal eversion after hysterectomy. Am J Obstet Gynecol 1992;166:1717-1724.
  • 16. Farnsworth B. Posterior IVS for vault suspension: a re-evaluation. Pelviperineology 2007; 26:70-73.
  • 17. Petros PE. Re. Posterior IVS for vault suspension: A re-evaluation. Letter to the Editor. Pelviperineology 2007;26:136-38.
  • 18. Farnsworth BN. Posterior intravaginal slingplasty (infracoccygeal sacropexy) for severe posthysterectomy vaginal vault prolapse-a preliminary report on efficacy and safety. Int Urogynecol J Pelvic Floor Dysfunct 2002; 13(1):4-8.
  • 19. Sivaslioglu AA, Gelişen O, Dolen I, Dede H, Dilbaz S, Haberal A. Posterior sling (infracoccygeal sacropexy): An alternative procedure for vaginal vault prolapse. Aust N Z J Obstet Gynaecol 2005;45(2): 159-160.
  • 20. Feiner B, Jelovsek JE, Maher C. Efficacy and safety of transvaginal mesh kits in the treatment of prolapse of the vaginal apex: a systematic review. BJOG 2009;116(1): 15-24.
  • 21. Meschia M, Barbacini P, Longatti D, Gattei U, Pifarotti P. Randomized comparison between Infracoccygeal Sacropexy (Posterior IVS) and Sacrospinous ligament fixation in the management of vault prolapse International Urogy-necological Association (30th Annual Meeting); August 2005; Copenhagen (Denmark); Abstract number 85.
  • 22. de Tayrac R, Bader G, Deffieux X, Fazel A, Mathe M, Fernandez H. A prospective randomized study comparing posterior IVS and Sacrospinous suspension for the surgical treatment of uterine or vaginal vault prolapse. International Urogynecological Association (31st Annual Meeting); September 2006; Athens (Greece); Abstract number 317.
  • 23. Grynberg M, Teyssedre J, Staerman F. Glu-teo-vaginal fistula after posterior intravaginal slingplasty: a case report. Int Urogynecol J Pelvic Floor Dysfunct 2008 Nov 11. [Epub ahead of print].
  • 24. Mikos T, Tsalikis T, Papanikolaou A, Pourna-ropoulos F, Bontis JN. Gluteo-vaginal sinus formation complicating posterior intravaginal slingplasty followed by successful IVS removal. A case report and review of the literature. Int Urogynecol J Pelvic Floor Dysfunct 2008;19(3):449-52.
  • 25. Fatton B, Amblard J, Debodinance P, Cosson M, Jacquetin B. Transvaginal repair of genital prolapse: preliminary results of a new tension-free vaginal mesh (Prolift technique)—a case series multicentric study. Int Urogynecol J Pelvic Floor Dysfunct 2007;18:743-52.
  • 26. Güner H, Güler İ. Transvaginal approaches to uterin and vault prolapse. Türkiye Klinikleri J Surg Med Sci 2007; 3(48):70-6.
There are 26 citations in total.

Details

Primary Language Turkish
Subjects Reproductive Medicine (Other)
Journal Section Case Reports
Authors

Işık Üstüner

Publication Date March 19, 2009
Published in Issue Year 2009 Volume: 3 Issue: 1

Cite

APA Üstüner, I. (2009). Vajinal Kaf Prolapsus Tedavisinde Cerrahi Kit Kullanımı. Türk Tıp Dergisi, 3(1), 40-44.
 Download Cover Image

bf8427c2c5be3a8e93ed095426efd16e.png
Bu eser Creative Commons Atıf-GayriTicari (CC-BY-NC 4.0) Uluslararası Lisansı ile lisanslanmıştır.

All site content, except where otherwise noted, is licensed under a Creative Common Attribution Licence. (CC-BY-NC 4.0)