International Urogynecology Journal

, Volume 13, Issue 1, pp 4–8

Posterior Intravaginal Slingplasty (Infracoccygeal Sacropexy) for Severe Posthysterectomy Vaginal Vault Prolapse – A Preliminary Report on Efficacy and Safety

  • B. N. Farnsworth
Original Article

DOI: 10.1007/s001920200001

Cite this article as:
N. Farnsworth, B. Int Urogynecol J (2002) 13: 4. doi:10.1007/s001920200001

Abstract:

The infracoccygeal sacropexy, or posterior intravaginal slingplasty, was first reported by Petros as a minimally invasive procedure for the treatment of vault prolapse. This report is a prospective observational study that confirms the efficacy and safety of this new procedure. In this operation the IVS Tunneller (Tyco Healthcare, USA) is used to insert an 8 mm polypropylene tape between the perineum and the vaginal vault. The resulting artificial neoligament reinforces the atrophied uterosacral ligaments. The rectovaginal fascia and perineal body are then repaired by a technique that includes using a bridge of vaginal epithelium to strengthen the central vaginal epithelium at the point of maximum weakness. The symptomatic cure rates for prolapse were 91%, urgency 79%, nocturia 82% and pelvic pain 78%. All patients were discharged home within 24 hours. There were minimal surgical complications and no transfusions were required. The technique is safe, minimally invasive, has a short learning curve, and the skills needed are those of any competent pelvic surgeon.

Key words:Infracoccygeal sacropexy – Nocturia – Pelvic pain – Posterior intravaginal slingplasty – Urgency – Vaginal vault prolapse

Copyright information

© Springer-Verlag London Limited 2002

Authors and Affiliations

  • B. N. Farnsworth
    • 1
  1. 1.Sydney Adventist Hospital, Sydney, AustraliaAU