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International Urogynecology Journal
Published in: International Urogynecology Journal 10/2020

01-10-2020 | Sacrocolpopexy | Clinical Opinion

Update in native tissue vaginal vault prolapse repair

Authors: Andrea Braga, Maurizio Serati, Stefano Salvatore, Marco Torella, Roberto Pasqualetti, Andrea Papadia, Giorgio Caccia

Published in: International Urogynecology Journal | Issue 10/2020

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Abstract

The lifetime risk of women for undergoing surgery for pelvic organ prolapse (POP) is estimated to be 11–19%, and 30% of these women will require subsequent reoperation over time. Following hysterectomy, 3.6 per 1,000 person-years need surgical correction of prolapse, and in two-thirds of these cases multi-compartment prolapse is present. In the last decades, vaginally synthetic meshes were widely used in pelvic reconstructive surgery. However, after the decision of the Food and Drug Administration in 2019 to stop selling all surgical mesh devices for transvaginal prolapse repair, native tissue (NT) vaginal repair seems to regain an important role in pelvic reconstructive surgery. In the literature, various surgical techniques have been described for apical repair, but the best surgical approach is still to be proven. This paper analyzes the current evidence from recent literature on NT vaginal vault prolapse (VVP) repair, with special focus on the safety and efficacy of the various vaginal techniques.
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Metadata
Title
Update in native tissue vaginal vault prolapse repair
Authors
Andrea Braga
Maurizio Serati
Stefano Salvatore
Marco Torella
Roberto Pasqualetti
Andrea Papadia
Giorgio Caccia
Publication date
01-10-2020
Publisher
Springer International Publishing
Published in
International Urogynecology Journal / Issue 10/2020
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-020-04368-4

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