Abstract
Many patients with pelvic floor disorders present with symptoms other than urinary stress incontinence: uterine prolapse, anterior and posterior vaginal wall prolapse, urgency, frequency, nocturia, fecal incontinence, etc. For these patients presenting with symptoms other than USI, our aim was to find the best surgical way to correct the determined anatomical defect.
For those with posterior compartment defect, we used a new surgical technique repair, consisting in a polypropylene “patch” of 4 × 2 cm suspended to the sacrospinous ligaments bilaterally and fixed to the cervical insertion of uterosacral ligaments or to the vaginal mucosa in those patients with vaginal vault prolapse.
The anatomical results were satisfactory immediately post-operatively and 6 months after.
The correction of posterior compartment is a keystone in treating pelvic floor disorders other than USI. The proposed surgical technique seems to restore well the anatomy giving back the function to the organs involved.
For patients with pelvic floor disorders other than USI, the surgeon must always look for the posterior compartment defect. The polypropylene mesh with bilateral sacrospinous suspension might offer a convenient solution for these patients. We strongly believe that correcting anatomical damage can restore function in high percentage.
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Enache, T., Enache, A., Moisa, M., Ionica, M. (2022). Surgical Treatment of Posterior Compartment Defects. In: Dökmeci, F., Rizk, D.E.E. (eds) Insights Into Incontinence and the Pelvic Floor. Springer, Cham. https://doi.org/10.1007/978-3-030-94174-1_14
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DOI: https://doi.org/10.1007/978-3-030-94174-1_14
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