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Midline uterosacral plication anterior colporrhaphy combo (MUSPACC): preliminary surgical report

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Abstract

Introduction and hypothesis

The objective of this study is to examine the surgical safety and early efficacy of the midline uterosacral (ligament) plication anterior colporrhaphy (MUSPACC) procedure.

Methods

A retrospective review of the perioperative data of 41 women who had undergone an MUSPACC procedure without any other vaginal vault supportive procedure was performed.

Results

The MUSPACC procedure can be performed comfortably through a single midline anterior vaginal wall incision, providing concomitant levels 1 and 2 support at anterior colporrhaphy. The procedure is safe and relatively quick (median 23 min) with consistent access to the intermediate section of the uterosacral ligament. Blood loss is generally minimal to small. Dissection is relatively limited. The ureters (2 cm or more lateral) are not deemed to be at risk. Short-term anatomical results are promising. There was no significant change in vaginal length.

Conclusions

The MUSPACC procedure is safe, relatively quick, and free of significant bleeding. It provides concomitant levels 1 and 2 vaginal support.

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Conflicts of interest

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Authors and Affiliations

  1. University of New South Wales, Kensington, New South Wales, Australia

    Bernard T. Haylen, Dzung Vu & Kelly Tse

  2. St. Vincent’s General Hospital, Darlinghurst, New South Wales, Australia

    Vivian Yang

  3. Suite 904, St Vincent’s Clinic, 438 Victoria Street, Darlinghurst, 2010, New South Wales, Australia

    Bernard T. Haylen

Authors
  1. Bernard T. Haylen
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  2. Vivian Yang
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  3. Dzung Vu
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  4. Kelly Tse
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Correspondence to Bernard T. Haylen.

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Haylen, B.T., Yang, V., Vu, D. et al. Midline uterosacral plication anterior colporrhaphy combo (MUSPACC): preliminary surgical report. Int Urogynecol J 22, 69–75 (2011). https://doi.org/10.1007/s00192-010-1242-x

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  • DOI: https://doi.org/10.1007/s00192-010-1242-x

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