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International Urogynecology Journal

, Volume 17, Issue 4, pp 326–329 | Cite as

Posterior intravaginal slingplasty for vaginal prolapse

  • D. J. JordaanEmail author
  • A. Prollius
  • H. S. Cronjé
  • M. Nel
Original Article

Abstract

Objective

To evaluate the results of the posterior intravaginal slingplasty (IVS).

Patients and methods

From a urogynecology database, 42 patients who had undergone posterior IVS procedures were analyzed. All the selected patients had also had a posterior colporrhaphy (88% with mesh inserted into the rectovaginal space).

Results

Intraoperatively, there was one complication, a rectum perforation. All patients were followed-up, with a median of 13 months. Recurrent prolapse, grade 3 or 4, developed in 12 patients (29%) which included ten cystoenteroceles (24%), four rectoenteroceles (10%), and three cases of utero/vault prolapse (7%). Repeat surgery was performed in six patients (14%). For utero/vault prolapse, eight patients presented preoperatively with grades 3 and 4 prolapse. On follow-up, three patients had utero/vault prolapse, one of whom did not have utero/vault prolapse on presentation. Therefore, of the eight patients presenting with utero/vault prolapse, only two had repeat prolapse on follow-up, which reflected an improvement of 75%.

Conclusion

The posterior IVS delivered satisfactory results for vault and posterior compartment prolapse, with a 75% improvement in vault prolapse. It was not possible, however, to separate the effect of posterior IVS and posterior colporrhaphy on the prevention of recurrent prolapse nor on the improvement of difficulty in defecation. Due to the utilization of the now-abandoned vaginal anterior colposuspension procedure for the treatment of anterior compartment prolapse, no conclusions regarding the impact of the posterior IVS on the anterior compartment can be made.

Keywords

Prolapse Pelvic organ Intravaginal sling Slingplasty Posterior colporrhaphy 

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Copyright information

© International Urogynecology Journal 2005

Authors and Affiliations

  • D. J. Jordaan
    • 1
    • 3
    Email author
  • A. Prollius
    • 1
  • H. S. Cronjé
    • 1
  • M. Nel
    • 2
  1. 1.Departments of Obstetrics and GynecologyUniversity of the Free StateBloemfonteinSouth Africa
  2. 2.Department of BiostatisticsUniversity of the Free StateBloemfonteinSouth Africa
  3. 3.Department of Obstetrics and GynecologyBloemfonteinSouth Africa

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