Risk of de novo posterior vaginal prolapse after anterior laparoscopic sacrocolpopexy: Evaluation at one year - 22/08/20
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Abstract |
Introduction and hypothesis |
Treatment of anterior vaginal and/or apical prolapse by sacrocolpopexy is most often performed by systematic placement of two non-resorbable meshes, anterior and posterior, whether or not there is an associated posterior vaginal prolapse. We believe that isolated correction of an anterior vaginal and/or apical prolapse in the absence of posterior vaginal prolapse is not associated with a higher rate of de novo posterior vaginal prolapse.
Method |
A prospective, observational, monocenter study performed in the Gynecology unit of the Conception UHC in Marseille from May 2011 to October 2014. Patients over 18 years of age exhibiting an anterior vaginal and/or apical prolapse of stage ≥ 2 of the POP-Q classification resulting in functional impairment with alteration of the quality of life, without an associated posterior vaginal prolapse were included and underwent a laparoscopic anterior sacrocolpopexy (ASP). They were seen again in consultation one year from the intervention. Validated quality of life questionnaires were completed pre- and one year postoperatively.
Results |
50 patients were included. The rate of de novo posterior vaginal prolapse was 8/50 (16 %). At one year, there was a significant improvement in terms of the SPDI-20 and SPIQ-7 (p < 0.0001) questionnaire, without significant improvement in the quality of sexual function (PISQ-12 questionnaire) (p = 0.073).
Conclusion |
The risk of de novo posterior vaginal prolapse at one year is low when an ASP is carried out.
Le texte complet de cet article est disponible en PDF.Keywords : PFDI-20, PFIQ-7, PISQ-12, Pelvic organ prolapse, Laparoscopic sacrocolpopexy, Mesh
Plan
Vol 49 - N° 7
Article 101799- septembre 2020 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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