Abdominal Imaging

, Volume 38, Issue 5, pp 884–893 | Cite as

A comprehensive view on the actual trend in pelvic organ prolapse repair




The objective of this paper is to review the more recent literature on pelvic organ prolapse (POP). A detailed Medline search was performed.


An understanding of the published literature is important in deciding, which surgical approach has to be used and how to counsel patients during informed consent.


In the review, we analyze the various interventions for POP and provides also a survey of the current controversies and areas where knowledge is incomplete and need further evaluation for definitive answers regarding optimization of surgical care for POP. While theoretically appealing, the implantation of synthetic mesh in the pelvis may be associated with inherent adverse consequences, such as erosion, extrusion, and infection that further complicate the decision to use synthetic mesh. In addition, the routine use of these materials may carry potential long-term complications, such as dyspareunia, chronic pelvic pain, and vaginal distortion. A final overview on the International Consultation on Incontinence and Cochrane database are reported, as recent warnings by the USA Food and Drug Administration.


POP surgery Sacral colpopexy Sacrospinous ligament fixation Uterosacral ligament suspension High levator myorraphy Prosthetic surgery 


  1. 1.
    Gauruder-Burmester A, Koutouzidou P, Rohne J, Gronewold M, Tunn R (2007) Follow-up after polypropylene mesh repair of anterior and posterior compartments in patients with recurrent prolapse. Int Urogencol J 18:1059–1064CrossRefGoogle Scholar
  2. 2.
    Digesu GA, Chailiha C, Salvatore S, Huthings A, Kullar V (2005) The relationship of vaginal prolapse severity to symptoms and quality of life. BJOG 112:971–976PubMedCrossRefGoogle Scholar
  3. 3.
    Olsen AL, Smith VJ, Bergstom JO, Collong JC, Clarck AL (1997) Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol 89:501–506PubMedCrossRefGoogle Scholar
  4. 4.
    Holley RL, Varner RE, Gleason BP, Apiffel LA, Scott S (1995) Recurrent pelvic support defects after sacrospinous ligament fixation for vaginal vault prolapse. J Am Coll Surg 180:444–448PubMedGoogle Scholar
  5. 5.
    Samuelsson EC, Victor FT, Tibblin G, Svardsudd KF (1999) Signs of genital prolapse in a Swewdish population of women 20 to 59 years of age and possible related factors. Am J Obstet Gynecol 180:299–305PubMedCrossRefGoogle Scholar
  6. 6.
    Shull BL, Bachofen C, Coates KW, Kuehl TJ (2000) A transvaginal approach to repair of apical and other associated sites of pelvic organ prolapse with uterosacral ligaments. Am J Obstet Gynecol 183:1365–1373PubMedCrossRefGoogle Scholar
  7. 7.
    Brubaker L, Glazener C, Jaquetin B, et al. (2009) Surgery for pelvic organ prolapse. In: Abrams P, Cardozo L, Khoury , Wein A (eds) Incontinence, 4th edn. Plymouth: Health Publication Ltd., pp 1273–1320Google Scholar
  8. 8.
    Kelly HA (1913) Incontinence of urine in women. Urol Cutaneous Rev 17:291–293Google Scholar
  9. 9.
    Walter S, Olesen KP, Hald T, et al. (1982) Urodynamic evaluation after vaginal repair and colosuspension. Br J Urol 54:377–380PubMedCrossRefGoogle Scholar
  10. 10.
    Weber AM, Walters MD, Piedmonte MR, Ballaed LA (2001) Anterior colporraphy: a randomized trial of three surgical technique. Am J Obstet Gynecol 185:1299–1306PubMedCrossRefGoogle Scholar
  11. 11.
    Raz S, Klutke CG, Golombe (1989) Four-corner bladder and urethral suspension for moderate cystocele. J Urol 142:712–715PubMedGoogle Scholar
  12. 12.
    Miyazaki FS, Miyazaki DW (1994) Raz four corner suspension for severe cystocele: poor results. Int Urogynecol J 5:94–97CrossRefGoogle Scholar
  13. 13.
    Morley GW, DeLancey JO (1988) Sacrospinous ligament fixation for eversion of the vagina. Am J Obstet Gynecol 158:872–881PubMedGoogle Scholar
  14. 14.
    Bruce GR, El-Galley RES, Galloway NTM (1999) Paravaginal defect repair in the treatment of female stress urinary incontinence and cystocele. Urology 54:647–651PubMedCrossRefGoogle Scholar
  15. 15.
    Scotti RJ, Garely AD, Greston WM, Flora RF, Olson TR (1998) Paravaginal repair of lateral vaginal wall defects by fixation to the ischial periosteum and obturator membrane. Am J Obstet Gynecol 170:1436–1445CrossRefGoogle Scholar
  16. 16.
    Elkins TE, Chesson RR, Videla F, et al. (2000) Transvaginal paravaginal repair: a useful adjunctive procedure in pelvic relaxation surgery. J Pelvic Surg 1:11–15Google Scholar
  17. 17.
    Nguyen JK, Bhatia NN (1999) Transvaginal repair of paravaginal defects using the capio suturing device: a preliminary experience. J Gynecol Tech 5:51–54Google Scholar
  18. 18.
    Baker KR, Beresford JM, Campbell C (1990) Colposacropexy with prolene mesh. Surg Gynecol Obstet 171:51–54PubMedGoogle Scholar
  19. 19.
    Snyder TE, Krantz KE (1991) Abdominal-retroperitoneal sacral colpopexy for the correction of vaginal prolapse. Obstet Gynecol 77:944–949PubMedGoogle Scholar
  20. 20.
    Creighton SM, Stanton SL (1991) The surgical management of vaginal vault prolapse. Br J Obstet Gynaecol 98:1150–1154PubMedCrossRefGoogle Scholar
  21. 21.
    Imparato E, Aspesi G, Rovetta E, et al. (1992) Surgical management and prevention of vaginal vault prolapse. Surg Gynecol Obstet 175:233–237PubMedGoogle Scholar
  22. 22.
    Van Lindert ACM, Groenendijk AG, Scholten PC, et al. (1993) Surgical support of genital prolapse including preservation of the uterus, using Gore-Tex soft tissue patch: a preliminary report. Eur J Obstet Gynecol Reprod Biol 50:133–139PubMedCrossRefGoogle Scholar
  23. 23.
    Iosif CS (1993) Abdominal sacral colpopexy with use of synthetic mesh. Acta Obstet Gynecol Scand 72:214–217PubMedCrossRefGoogle Scholar
  24. 24.
    Valaitis SR, Stanton SL (1994) Sacrocolpopexy: a retrospective study of a clinician’s experience. Br J Obstet Gynaecol 101:518–522PubMedCrossRefGoogle Scholar
  25. 25.
    Virtanen H, Hirvonen T, Makinen J, Kiilholma P (1994) Outcome of thirty patients who underwent repair of posthysterectomy prolapse of the vaginal vault with abdominal sacral colpopexy. J Am Coll Surg 178:283–287PubMedGoogle Scholar
  26. 26.
    De Vries MJ, van Dessel TH, Drogendijk AC, et al. (1995) Short-term results and long-term patients’ appraisal of abdominal colposacropexy for treatment of genital and vaginal vault prolapse. Eur J Obstet Gynecol Reprod Biol 59:35–38PubMedCrossRefGoogle Scholar
  27. 27.
    Kholi N, Walsh PM, Roat TW, Karram MM (1998) Mesh erosion after abdominal sacro-colpopexy. Obstet Gynecol 92:999–1004CrossRefGoogle Scholar
  28. 28.
    Costantini E, Lombi R, Micheli C, et al. (1998) Colposacropexy with Gore-Tex mesh in marked vaginal and uterovaginal prolapse. Eur Urol 34:111–117PubMedCrossRefGoogle Scholar
  29. 29.
    Occelli B, Narducci F, Cosson M, et al. (1999) Abdominal colposacropexy for the treatment of vaginal vault prolapse with or without urinary stress incontinence. Ann Chir 53:367–377 ((in French))PubMedGoogle Scholar
  30. 30.
    Fenner DE (2000) New surgical mesh. Clin Obstet Gynecol 43:650–658PubMedCrossRefGoogle Scholar
  31. 31.
    Nygaard IE, McCreery r Brubaker L, et al. (2004) Abdominal sacrocolpopexy: a comprehensive review. Obstet Gynecol 104:805–823PubMedCrossRefGoogle Scholar
  32. 32.
    Culligan PJ, Blackwell L, Goldsmith LJ (2005) A randomized controlled trial comparing fascia lata and synthetic mesh for sacral colpopexy. Obstet Gynecol 106:29–37PubMedCrossRefGoogle Scholar
  33. 33.
    Lavatis D, Drutz HP (2002) Safety and efficacy of sacrospinous vault suspension. Int Urogynecol J Pelvic Floor Dysfunct 13:308–313CrossRefGoogle Scholar
  34. 34.
    Kruikshank SH, Muniz M (2003) Outcomes study. A comparison of cure rates in 695 patients undergoing sacrospinous ligament fixation alone with other site-specific procedures—a 16-year study. Am J Obstet Gynecol 188:1509–1512CrossRefGoogle Scholar
  35. 35.
    Sze EH, Karram MM (2000) Transvaginal repair of vault prolapse: a review. Obstet Gynecol 183:1365–1374CrossRefGoogle Scholar
  36. 36.
    Kovac SR, Cruishank SH (1993) Successful pregnancies and vaginal deliveries after sacrospinous uterosacral fixation in five of nineteen patients. Am J Obstet Gynecol 168(6 Pt 1):1778–1783 ((discussion 1783–1786))PubMedCrossRefGoogle Scholar
  37. 37.
    Dietz V, Husman M, de Jong JM, Heintz PM, van der Vaart CH (2008) Functuonal outcome after sacrospinous hysteropexy for uterine descensus. Int Urogynecol J Pelvic Flooor Dysfunct 19:747–752CrossRefGoogle Scholar
  38. 38.
    Shull BL, Capen CV, Riggs MW, Kuehl TJ (1992) Preoperative and postoperative analysis of site-specific pelvic support defects in 81 women treated with sacrospinous ligament suspension and pelvic reconstruction. Am J Obstet Gynecol 166(6 Pt 1):1764–1768 ((discussion 8–71))PubMedCrossRefGoogle Scholar
  39. 39.
    Pasley WW (1995) Sacrospinous suspension: a local practitioner’s experience. Am J Obstet Gynecol 173:440–445 ((discussion 5–8))PubMedCrossRefGoogle Scholar
  40. 40.
    Benson JT, Lucente V, McClellan E (1996) Vaginal versus abdominal reconstructive surgery for the treatment of pelvic support defects: a prospective randomized study with long-term outcome evaluation. Am J Obstet Gynecol 175:1418–1421PubMedCrossRefGoogle Scholar
  41. 41.
    Paraiso MF, Ballard LA, Walters MD, Lee JC, Mitchinson AR (1996) Pelvic support defects and visceral and sexual function in women treated with sacrospinous ligament suspension and pelvic reconstruction. Am J Obstet Gyneco 175:1423–1430 ((discussion 30–31))CrossRefGoogle Scholar
  42. 42.
    Penalver M, Mekki Y, Lafferty H, Escobar M, Angioli R (1998) Should sacrospinous ligament fixation for the management of pelvic support defects be part of a residency program procedure? The University of Miami experience. Am J Obstet Gynecol 178:326–329PubMedCrossRefGoogle Scholar
  43. 43.
    Colombo M, Milani R (1998) Sacrospinous ligament fixation and modified McCall culdoplasty during vaginal hysterectomy for advanced uterovaginal prolapse. Am J Obstet Gynecol 179:13–20PubMedCrossRefGoogle Scholar
  44. 44.
    Meschia M, Bruschi F, Amicarelli F, et al. (1999) The sacrospinous vaginal vault suspension: critical analysis of outcomes. Int Urogynecol J Pelvic Floor Dysfunct 10:155–159PubMedCrossRefGoogle Scholar
  45. 45.
    Lantzsch T, Goepel C, Wolters M, Koelbl H, Methfessel HD (2001) Sacrospinous ligament fixation for vaginal vault prolapse. Arch Gynecol Obstet 265:21–25PubMedCrossRefGoogle Scholar
  46. 46.
    Maher CF, Qatawneh AM, Dwyer PL, et al. (2004) Abdominal sacral colpopexy or vaginal sacrospinous colpopexy for vaginal vault prolapse: a prospective randomized study. Am J Obstet Gynecol 190:20–26PubMedCrossRefGoogle Scholar
  47. 47.
    Maher CF, Murray CJ, Carey MP, Dwyer PL, Ugoni AM (2001) Ileococcygeous or sacrospinous fixation for vaginal vaul prolapse. Obstet Gynecol 98:40–44PubMedCrossRefGoogle Scholar
  48. 48.
    Natale F, La Penna C, Padoa A, Panei M, Cervigni M (2008) High levator myorrhaphy for transvaginal suspension of the vaginal apex: long-term results. J Urol 180:2047–2052PubMedCrossRefGoogle Scholar
  49. 49.
    Barber MD, Visco AG, Weidner AC, Amudsen CL, Bump RC (2000) Bilateral uterosacral ligament vaginal vault suspension with site-specific endopelvic fascia repair for treatment of pelvic organ prolapse. Am J Obstet Gyneco 183:402–411Google Scholar
  50. 50.
    Jenkins VR 2nd (1997) Uterosacral ligament fixation for vaginal vault suspension in uterine and vaginal vault prolapse. AmJ Obstet Gynecol 177:1337–1343 ((discussion 43–44))CrossRefGoogle Scholar
  51. 51.
    Comiter CV, Vasavada SP, Raz S (1999) Transvaginal culdosuspension: technique and results. Urology 54:819–822PubMedCrossRefGoogle Scholar
  52. 52.
    Karram M, Goldwasser S, Kleeman S, et al. (2001) High uterosacral vaginal vault suspension with fascial reconstruction for vaginal repair of enterocele and vaginal vault prolapse. Am J Obstet Gynecol 185:1339–1342 ((discussion 42–43))PubMedCrossRefGoogle Scholar
  53. 53.
    Amundsen CL, Flynn BJ, Webster GD (2003) Anatomical correction of vaginal vault prolapse by uterosacral ligament fixation in women who also require a pubovaginal sling. J Urol 169:1770–1774PubMedCrossRefGoogle Scholar
  54. 54.
    Silva WA, Pauls RN, Segal JL, et al. (2006) Uterosacral ligament vault suspension: five year outcomes. Obstet Gynecol 108:255–263PubMedCrossRefGoogle Scholar
  55. 55.
    Witheside JL, Weber AM, Meyn LA, Walters MD (2004) Risk factors for prolapse recurrence after vaginal repair. Am J Obstet Gynecol 191:1533–1538CrossRefGoogle Scholar
  56. 56.
    Cosson M, Boukerrou M, Lambaudie E, et al. (1995) Biomechanics of stress distribution and resistance of biological tissues why use prostheses for the cure of genital prolapse. J Gynecol Obstet Biol Reprod (Paris) 32:329–337Google Scholar
  57. 57.
    Gomelsky A, Penson DF, Dmochowski RR (2011) Pelvic organ prolapse (POP) surgery: the evidence for the repairs. BJU Int 107:1704–1719Google Scholar
  58. 58.
    Cervigni M, Natale F, La Penna C, Panei M, Mako A (2008) Transvaginal cystocele repair with polypropylene mesh using a tension-free technique. Int Urogynecol J Pelvic Floor Dysfunct 19:489–496PubMedCrossRefGoogle Scholar
  59. 59.
    de Tayrac R, Fernandez H (2002) Surgical repair of cystocele with mesh by the vaginal route. Am J Obstet Gynecol 186:852–853PubMedGoogle Scholar
  60. 60.
    Bader G, Fauconnier A, Roger N, et al. (2004) Cystocele repair by vaginal approach with a tension-free transversal polypropylene mesh Technique and results. Gynecol Obstet Fertil 32:280–284PubMedCrossRefGoogle Scholar
  61. 61.
    Husaunndee M, Rousseau E, Deleflie M, et al. (2003) Surgical treatment of genital prolapse with a new lateral prosthetic hysteropexia technique combining vaginal and laparoscopic methods. J Gynecol Obstet Biol Reprod (Paris) 32:314–320Google Scholar
  62. 62.
    Petros PP, Ulmsten U (1998) An anatomical classification—a new paradigm for management of female lower urinary tract dysfunction. Eur I Obstet Gynecol Reprod Biol 80:87–94CrossRefGoogle Scholar
  63. 63.
    Farnsworth B (2002) The integral theory of female urinary incontinence. Aust N Z J Obstet Gynaecol 42:99PubMedCrossRefGoogle Scholar
  64. 64.
    DeLancey JO (1992) Anatomic aspects of vaginal eversion after hysterectomy. Am J Ostet Gynecol 166:1717–1724CrossRefGoogle Scholar
  65. 65.
    Deffieux X, de Tayrac R, Huel C, et al. (2007) Vaginal mesh erosion after transvaginal repair of cystocele using Gynemesh or Gynemesh-Soft in 138 women: a comparative study. Int Urogynecol J Pelvic Floor Dysfunct 18:73–79PubMedCrossRefGoogle Scholar
  66. 66.
    Debodinance P, Berrocal J, Clave` H, et al. (2004) Evolution des idees sur le traitement chirugical des prolapsus genitaux. J Gynecol Obstet Biol Reprod 33:577–588CrossRefGoogle Scholar
  67. 67.
    Collinet P, Belot F, Debodinance P, et al. (2006) Transvaginal mesh technique for pelvic organ prolapse repair: mesh exposure management and risk factor. Int Urogynecol J Pelvic Floor Dysfunct 17:315–320PubMedCrossRefGoogle Scholar
  68. 68.
    Flood CG, Drutz HP, Waja L (1998) Anterior colporraphy reinforced with Marlex mesh for the treatment of cystocele. Int Urogynecol J Pelvic Floor Dysfunct 9:200–204PubMedCrossRefGoogle Scholar
  69. 69.
    Mage P (1999) Interposition of a synthetic mesh by vaginal approach in the cure of genital prolapse. J Gynecol Obstet Biol Reprod (Paris) 28:825–829Google Scholar
  70. 70.
    Sand PK, Koduri S, Lobel RW, et al. (2001) Prospective randomized trial of polyglactin 910 mesh to prevent recurrence of cystoceles and rectoceles. Am J Obstet Gynecol 184:1357–1362 ((discussion 1362–1364))PubMedCrossRefGoogle Scholar
  71. 71.
    Cervigni M, Weir JM, Natale F, et al. (2004) Tension free cystocele repair: reliability and efficacy of a prosthetic procedure in a long-term follow-up. J Urol 171:305Google Scholar
  72. 72.
    Dwyer PL, O’Reilly BA (2004) Transvaginal repair of anterior and posterior compartment prolapse with Atrium polypropylene mesh. BJOG 111:831–836PubMedCrossRefGoogle Scholar
  73. 73.
    Gomelsky A, Rudy DC, Dmochowski R (2004) Porcine dermis interposition graft for repair of high grade anterior compartment defects with or without concomitant pelvic organ prolapse procedures. J Urol 171:1581–1584PubMedCrossRefGoogle Scholar
  74. 74.
    Gandhi S, Goldberg RP, Kwon C, et al. (2005) A prospective randomized trial using solvent dehydrated fascia lata for the prevention of recurrent anterior vaginal wall prolapse. Am J Obstet Gynecol 192:1649–1654PubMedCrossRefGoogle Scholar
  75. 75.
    de Tayrac R, Deffieux X, Gervaise A, et al. (2006) Long-term anatomical and functional assessment of transvaginal cystocele repair using a tension-free polypropylene mesh. Int Urogynecol J Pelvic Floor Dysfunct 17:483–488PubMedCrossRefGoogle Scholar
  76. 76.
    de Tayrac R, Gervaise A, Chauveaud A, et al. (2005) Tension-free polypropylene mesh for vaginal repair of anterior vaginal wall prolapse. J Reprod Med 50:75–80PubMedGoogle Scholar
  77. 77.
    de Tayrac R, Marcollet A, Fernandez H (2002) Cure de cystocele voie basse par protese sous-vesicale libre. J Gynecol Obstet Biol Reprod 31:597–599Google Scholar
  78. 78.
    Ansquer Y, Marcollet A, Alves K, et al. (2004) Cystocele repair by a synthetic vaginal mesh secured anteriorly through the obturator foramen. Eur J Obstet Gynecol 115:90–94CrossRefGoogle Scholar
  79. 79.
    Salomon LJ, Detchev R, Barranger E (2004) Treatment of anterior vaginal wall prolapse with porcine skin collagen implant by the transobturator route: preliminary results. Eur Urol 45:219–225PubMedCrossRefGoogle Scholar
  80. 80.
    David-Montefiore E, Barranger E, Dubernard G, et al. (2005) Treatment of genital prolapse by hammock using porcine skin collagen implant (Pelvicol). Urology 66:1314–1318PubMedCrossRefGoogle Scholar
  81. 81.
    Palma P, Rane A, Riccetto C, et al. (2005) Transobturator correction of cystocele. Actas Urol Esp 29:89–92PubMedCrossRefGoogle Scholar
  82. 82.
    Goldberg RP, Tomezsko JE, Winkler HA, et al. (2001) Anterior or posterior sacrospinous vaginal vault suspension: long-term anatomic and functional evaluation. Obstet Gynecol 98:199–204PubMedCrossRefGoogle Scholar
  83. 83.
    Amrute KV, Eisenberg ER, Rastinehad AR, Kushner L, Badlani GH (2007) Analysis of outcomes of single polypropylene mesh in total pelvic floor reconstruction. Neurourol Urodyn 26:53–58PubMedCrossRefGoogle Scholar
  84. 84.
    Lowder JL, Park AJ, Ellison R, et al. (2008) The role of apical support in the appearance of anterior and posterior vaginal prolapse. Obstet Gynecol 111:152–157PubMedCrossRefGoogle Scholar
  85. 85.
    Summers A, Winkel LA, Hussain HK, DeLancey JO (2006) The relationship between anterior and apical compartment support. Am J Obstet Gunecol 194:1438–1443CrossRefGoogle Scholar
  86. 86.
    Altman D, Mellgren A, Zetterstrom J (2005) Rectocele repair using biomaterial augmentation: current documentation and clinical experience. Obst Gynecol Surv 60:753–760CrossRefGoogle Scholar
  87. 87.
    Altman D, Zetterstrom J, Mellgren A (2006) A three-year prospective assessment of rectocele repair using porcine mesh. Obstet Gynecol 107:59–65PubMedCrossRefGoogle Scholar
  88. 88.
    de Tayrac R, Picone O (2006) A 2-year anatomical and functional assessment of transvaginal rectocele repair using a polypropylene mesh. Int Urogynecol J Pelvic Floor Dysfunct 17:100–105PubMedCrossRefGoogle Scholar
  89. 89.
    Sentilhes L, Sergent F, Resch B, et al. (2006) Posthysterectomy posterior compartment prolapse: preliminary results of a novel transvaginal surgical procedure using polypropylene mesh via the low transobturator route. Ann Chir 131:533–539PubMedCrossRefGoogle Scholar
  90. 90.
    Rozet F, Mandron E, Arroyo C, et al. (2005) Laparoscopic sacral colpopexy approach for genito-urinary prolapse: experience with 363 cases. Eur Urol 47:230–236PubMedCrossRefGoogle Scholar
  91. 91.
    Paraiso MF, Walters MD, Rackley RR, et al. (2005) Laparoscopic and abdominal sacral colpopexies: a cohort study. Am J Obstet Gynecol 192:1752–1758PubMedCrossRefGoogle Scholar
  92. 92.
    Diwan A, Rardin CR, Strohsnitter WC, et al. (2005) Laparoscopic uterosacral ligament uterine suspension compared with vaginal hysterectomy with vaginal vault suspension for uterovaginal prolapse. Int Urogynecol J Pelvic Floor Dysfunct 17:79–83PubMedGoogle Scholar
  93. 93.
    Krause HG, Goh JTW, Slogane K, et al. (2006) Laparoscopic sacral suture hysteropexy for uterine prolapse. Int Urogynecol J 17:378–381CrossRefGoogle Scholar
  94. 94.
    Gordon D, Gold RS, Pauzner D, et al. (2001) Combined genital urinary prolapse repair and prophylactic tension-free vaginal tape in women with severe prolapse and occult stress urinary incontinence: preliminary results. Urology 58:547–555PubMedCrossRefGoogle Scholar
  95. 95.
    Hassler AL, Lin LL, Ho MH, et al. (2005) Reevaluating occult incontinence. Curr Opin Obstet Gynecol 17:535–540CrossRefGoogle Scholar
  96. 96.
    Brubaker L, Cundiff GW, Fine P, et al. (2003) A randomized trial of colpopexy and urinary reduction efforts (CARE): design and methods. Control Clin Trials 24:629–642PubMedCrossRefGoogle Scholar
  97. 97.
    Brubaker L, Cundiff GW, Fine P, et al. (2006) Abdominal sacralcolpopexy with Burch colposuspension to reduce urinary stress incontinence. N Engl J Med 354:1557–1566PubMedCrossRefGoogle Scholar
  98. 98.
    Costantini E, Lazzeri M, Bini V, et al. (2012) Pelvic organ prolapse repair with and without concomitant Burch colposuspension in incontinent women: a randomized controlled trial with at least 5-years follow-up. Obstet Gynecol Int 2012:967923PubMedGoogle Scholar
  99. 99.
    Maher C, Feiner B, Baessler K, et al. (2010) Surgical management of pelvic organ prolapse in women. Cochrane Database Syst Rev 14(4):CD004014Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Department of UrogynecologySan Carlo, IDI HospitalRomeItaly

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