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Type: Artigo
Title: Impact Of Sacrospinous Colpopexy Associated With Anterior Colporrhaphy For The Treatment Of Dome Prolapse On All Three Vaginal Compartments
Title Alternative: Resultados Da Colpofixação Sacroespinal Associada A Colporrafia Anterior Para O Tratamento Do Prolapso De Cúpula Vaginal
Author: Castro
Edilson Benedito de; Juliato
Cássia Raquel Teatin; Piedemonte
Luciana Alonso Salão; Santos Júnior
Luiz Carlos dos
Abstract: To evaluate the results of sacrospinous colpopexy surgery associated with anterior colporrhaphy for the treatment of women with post-hysterectomy vaginal vault prolapse. Methods This prospective study included 20women with vault prolapse, PelvicOrgan Prolapse Quantification System (POP-Q) stage≥2, treated between January 2003 and February 2006, and evaluated in a follow-up review (more than one year later). Genital prolapse was evaluated qualitatively in stages and quantitatively in centimeters. Prolapse stage < 2 was considered to be the cure criterion. Statistical analysis was performed using the Wilcoxon test (paired samples) to compare the points and stages of prolapse before and after surgery. Results Evaluation of the vaginal vault after one year revealed that 95% of subjects were in stage zero and that 5% were in stage 1. For cystocele, 50% were in stage 1, 10% were in stage 0 (cured) and 40% were in stage 2. For rectocele, three women were in stage 1 (15%), one was in stage 2 (5%) and 16 had no further prolapse. The most frequent complication was pain in the right buttock, with remission of symptoms in all three cases three months after surgery. Conclusions In this retrospective study, the surgical correction of vault prolapse using a sacrospinous ligament fixation technique associatedwith anterior colporrhaphy proved effective in resolving genital prolapse. Despite the low complication rates, there was a high rate of cystocele, which may be caused by posterior vaginal shifting due to either the technique or an overvaluation by the POP-Q system.
Subject: Vaginal Vault Prolapse
Sacrospinous Fixation
Prolapso Cúpula Vaginal
Fixação Sacroespinal
Editor: Federação Brasileira das Sociedades de Ginecologia e Obstetrícia
Citation: Revista Brasileira De Ginecologia E Obstetrícia. Federação Brasileira Das Sociedades De Ginecologia E Obstetrícia, v. 38, n. 2, p. 77 - 81
Rights: aberto
Date Issue: 2016
Appears in Collections:Unicamp - Artigos e Outros Documentos

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