Abstract
Introduction and hypothesis
This study aims to introduce a new pelvic reconstructive procedure and assess its safety and efficacy.
Methods
Anatomic dissection was performed on ten Chinese female cadavers. The fascia 1 cm horizontally lateral to the ischial spine was firm and strong with no major vessels or nerves in the area. Thirty-two patients with stage III uterine prolapse underwent ischial spinous fascia fixation procedure. Objective and subjective results were observed in follow-up evaluations.
Results
No severe complications were observed. The objective success rate was 94% at 1-year follow-up while two patients (6.3%) showed recurrence. There were significant improvements in Aa, Ba, Ap, Bp, and C (p < 0.001) by pelvic organ prolapse quantification. Two patients suffered from lower back pain and right thigh pain, respectively, while three complained a sensation of a foreign body in the vagina.
Conclusion
As a treatment of vaginal fornix prolapse, ischial spinous fascia fixation is found to be safe and efficacious.
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Funding
We are grateful for a research grant from National Science and Technology Pillar Program of China (2007BAI04B05).
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Zhu, L., Lang, J. & Zhang, Q. Clinical study of ischia spinous fascia fixation—a new pelvic reconstructive surgery. Int Urogynecol J 22, 499–503 (2011). https://doi.org/10.1007/s00192-010-1307-x
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DOI: https://doi.org/10.1007/s00192-010-1307-x