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International Urogynecology Journal

Published in:

01-03-2010 | Original Article

Bilateral anterior sacrospinous ligament suspension associated with a paravaginal repair with mesh: short-term clinical results of a pilot study

Authors: Renaud de Tayrac, Laurent Boileau, Jean-François Fara, François Monneins, Charles Raini, Pierre Costa

Published in: International Urogynecology Journal | Issue 3/2010

Abstract

Introduction and hypothesis

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). Peri-operative 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.

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Title: Bilateral anterior sacrospinous ligament suspension associated with a paravaginal repair with mesh: short-term clinical results of a pilot study
Authors: Renaud de Tayrac
Laurent Boileau
Jean-François Fara
François Monneins
Charles Raini
Pierre Costa
Publication date: 01-03-2010
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 3/2010
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-009-1036-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Bilateral anterior sacrospinous ligament suspension associated with a paravaginal repair with mesh: short-term clinical results of a pilot study

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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