Abdominal Sacral Colpopexy: Surgical Pearls and Outcomes

Overview

Journal Curr Urol Rep

Publisher Current Science

Specialty Urology

Date 2007 Sep 21

PMID 17880840

Citations 5

Authors

Anthony J Woodruff

Christopher C Roth

J Christian Winters

Affiliations

Soon will be listed here.

Abstract

Vaginal vault prolapse is a challenging form of pelvic organ prolapse that occurs in combination with cystocele, rectocele, or enterocele in nearly 75% of affected patients. Clinical presentation will vary depending on the associated defects. Any successful therapy for vaginal vault prolapse will depend on a thorough evaluation of the vaginal compartments and concomitant lower urinary tract function. Surgical correction of vaginal vault prolapse can be achieved through a variety of vaginal or abdominal approaches. This review focuses on the abdominal approach for vaginal vault prolapse surgery. We review outcomes of abdominal sacral colpopexy (ASC) and available comparisons to vaginal vault suspension. We address the role of laparoscopy and robotics in ASC and examine the outcomes of such procedures. We also discuss available literature on the management of the lower urinary tract in combination with ASC.

Citing Articles

Comparison between laparoscopic uterus/sacrocolpopexy and total pelvic floor reconstruction with vaginal mesh for the treatment of pelvic organ prolapse.

Wei D, Wang P, Niu X, Zhao X J Obstet Gynaecol Res. 2019; 45(4):915-922.

PMID: 30652385 PMC: 6590650. DOI: 10.1111/jog.13908.

The treatment of post-hysterectomy vaginal vault prolapse: a systematic review and meta-analysis.

Coolen A, Bui B, Dietz V, Wang R, van Montfoort A, Mol B Int Urogynecol J. 2017; 28(12):1767-1783.

PMID: 29038834 PMC: 5705749. DOI: 10.1007/s00192-017-3493-2.

Effect of mesh width on apical support after sacrocolpopexy.

Balgobin S, Fitzwater J, Mcintire D, Delgado I, Wai C Int Urogynecol J. 2016; 28(8):1153-1158.

PMID: 28035443 DOI: 10.1007/s00192-016-3250-y.

Vaginal mesh - the controversy.

Togami J, Brown E, Winters J F1000 Med Rep. 2012; 4:21.

PMID: 23189090 PMC: 3506218. DOI: 10.3410/M4-21.

Consensus statement AIGO/SICCR diagnosis and treatment of chronic constipation and obstructed defecation (part II: treatment).

Bove A, Bellini M, Battaglia E, Bocchini R, Gambaccini D, Bove V World J Gastroenterol. 2012; 18(36):4994-5013.

PMID: 23049207 PMC: 3460325. DOI: 10.3748/wjg.v18.i36.4994.

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