Uterine descensus and vaginal prolapse intravaginal posterior sling procedure Table

Pelviperineology

Intravaginal posterior sling procedure (PIVS) for the treatment of uterine descensus and vaginal vault prolapse:retrospective analysis of efficacy, safety, complications and patient satisfaction in 150 cases.

Table 1: Pre-operative assessment of cervical or vaginal vault prolapse, and combinations with anterior and posterior vaginal wall prolapse.

**Table 2: Operations performed in the study group in combination with PIVS*.**

Table 3: Influence of surgical treatment on pelvic floor disorders.

Table 4: Complications of surgical treatment of prolapse using PIVS.

Intravaginal posterior sling procedure (PIVS) for the treatment of uterine descensus and vaginal vault prolapse:retrospective analysis of efficacy, safety, complications and patient satisfaction in 150 cases.

Table 1: Pre-operative assessment of cervical or vaginal vault prolapse, and combinations with anterior and posterior vaginal wall prolapse.

Table 2: Operations performed in the study group in combination with PIVS*.

Table 3: Influence of surgical treatment on pelvic floor disorders.

Table 4: Complications of surgical treatment of prolapse using PIVS.

**Table 2: Operations performed in the study group in combination with PIVS*.**

Home Page

Article

Close

Original article Kim M. Haest (*) - Tom H. Hasaart (*) - Ilknur Sanli (*) - Ed T. Gondrie (**) Martin G. Bergmans (***)

Close

PIVS alone	19
with colporraphy anterior	21
with colporraphy posterior	59
with colporraphy anterior and posterior	36
with vaginal hysterectomy	14
with IVS anterior	1
total	150

* PIVS = posterior intravaginal sling

Close

Influence of prolapse surgery	Pre Op	Post Op
		Complete Cure	Improved	Unchanged	Worse
Prolapse sensation	83	0	77	3	3
Micturition problems/incontinence	57	26	5	7	19
Defaecation problems	35	22	0	13	0
Dyspareunia	24	6	6	6	6

Close

Literature	Cases	Surgical complications	Fever	Hematoma	Cystitis	Tape erosion
Biertho et al.	34	0	-	0	-	1
Everhardt et al.	32	0	-	-	-	8
Farnsworth	93	2	0	0	5	1
Haest et al.	150	0	1	8	13	4
Meschia et al.	33	0	-	-	-	1
Petros	75	2	0	0	-	4

Close

(*) Dept. of Obstetrics and Gynecology, Catharina Hospital, Eindhoven, The Netherlands
(**) Dept. of Obstetrics and Gynecology, Maasland Hospital, Sittard, The Netherlands
(***) Dept. of Obstetrics and Gynecology, Laurentius Hospital, Roermond, The Netherland

descensus cervix/

vaginal apex

cystocele

rectocele

enterocele

cystocele

recto/enterocele

no significant

cysto/rectocele

C

E

R

V

I

X

vault prolapse grade

3 or 4