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Posterior intravaginal slingplasty: efficacy and complications in a continuous series of 118 cases

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Abstract

Introduction and hypothesis

Posterior intravaginal slingplasty (PIVS) is a minimally invasive procedure that aims to suspend vaginal vault. Our study evaluated efficacy and complications of PIVS at long-term follow-up.

Methods

One hundred eighteen consecutive women underwent PIVS operation for Pelvic Organ Prolapse Quantification stage 3 or 4 vaginal cuff prolapse (VCP; 25 patients) or utero-vaginal prolapse (UVP; 93 patients). Apical vaginal wall at stage 0 or 1 was considered as cured.

Results

Follow-up mean duration was 58.6 months (range, 24–84 months). The success rate of PIVS was 96.6%. Some 8.5% mesh erosion (20% in patients with VCP and 5.4% with UVP), 2.5% vaginal–perineal fistula, and 3.4% paravaginal hematoma occurred. Neither erosion nor fistulas occurred with monofilament polypropylene mesh.

Conclusion

PIVS seems a safe and effective procedure for VCP and UVP. Vaginal erosion was mainly observed in patients with VCP treated with multifilament polypropylene mesh.

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Acknowledgments

The authors acknowledge Elisabetta Tarrano, Enrica Bar, Ilaria Allais, and Carmen Martorana for data collecting and technical assistance.

Conflicts of interest

None.

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Authors and Affiliations

  1. Department of Gynecology and Obstetrics, University of Turin, Turin, Italy

    Stefano Cosma, Mario Preti, Marco Mitidieri, Paolo Petruzzelli, Federica Possavino & Guido Menato

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  1. Stefano Cosma
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  2. Mario Preti
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  3. Marco Mitidieri
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  4. Paolo Petruzzelli
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  5. Federica Possavino
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  6. Guido Menato
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Correspondence to Stefano Cosma.

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Cosma, S., Preti, M., Mitidieri, M. et al. Posterior intravaginal slingplasty: efficacy and complications in a continuous series of 118 cases. Int Urogynecol J 22, 611–619 (2011). https://doi.org/10.1007/s00192-010-1350-7

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  • DOI: https://doi.org/10.1007/s00192-010-1350-7

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