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Type: Artigo de periódico
Title: Impact Of Sacrospinous Vaginal Vault Suspension On The Anterior Compartment [impacto De La Suspensión De La Cúpula Vaginal Al Ligamento Sacroespinoso Sobre El Compartimiento Anterior]
Author: Benedito de Castro E.
Palma P.
Riccetto C.
Herrmann V.
Bigozzi M.A.
Olivares J.M.
Abstract: Objectives: A prospective study was conducted to assess the efficacy of sacrospinous vaginal vault fixation and its impact on the anterior compartment. The Pelvic Organ Prolapse Quantification (POP-Q) system was used to quantify pelvic organ prolapse in the apical and anterior vaginal compartments. Methods: Fifty-eight patients underwent a procedure to correct apical prolapse from March 2003 to February 2006. Mean preoperative and postoperative POP-Q scores were respectively: Aa (+0.74; -1.45); Ba (+3.17; -1.36); C (+3.41; -7.71) (p<0.001). Results: Cure rate was 93.1%. Preoperative and postoperative evaluation of the anterior vaginal compartment was respectively: stage 1 (5.2%; 48.3%), stage 2 (6.9%; 34.5%), stage 3 (74.1%; 5.2%), and stage 4 (13.8%; 0%). De novo cystocele occurred in 87.9% of cases. An improvement was seen in lower urinary tract symptoms of urgency, nocturia, and urge incontinence. Conclusions: Sacrospinous vaginal vault suspension is effective for the treatment of apical prolapse and leads to formation of cystocele in most cases. © 2010 Asociación Española de Urología (AEU).
Rights: fechado
Identifier DOI: 10.1016/S0210-4806(10)70018-8
Date Issue: 2010
Appears in Collections:Unicamp - Artigos e Outros Documentos

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