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International Urogynecology Journal

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01-05-2011 | Original Article

Posterior intravaginal slingplasty: efficacy and complications in a continuous series of 118 cases

Authors: Stefano Cosma, Mario Preti, Marco Mitidieri, Paolo Petruzzelli, Federica Possavino, Guido Menato

Published in: International Urogynecology Journal | Issue 5/2011

Abstract

Introduction and hypothesis

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.

Conclusion

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.

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Title: Posterior intravaginal slingplasty: efficacy and complications in a continuous series of 118 cases
Authors: Stefano Cosma
Mario Preti
Marco Mitidieri
Paolo Petruzzelli
Federica Possavino
Guido Menato
Publication date: 01-05-2011
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 5/2011
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-010-1350-7

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Posterior intravaginal slingplasty: efficacy and complications in a continuous series of 118 cases

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

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