INTRODUCTION AND HYPOTHESIS: The aim of this study was to compare abdominal sacrocolpopexy (ASCP) with posterior intravaginal slingoplasty (PIVS) in terms of lower urinary tract symptoms and anatomical restoration. METHODS: Ninety-two patients underwent PIVS and 98 patients underwent ASCP. RESULTS: Regarding ASCP, the blood loss, operation time, and hospitalization length were 537 ml, 94.5 min, and 3.07 days, respectively. Eight (8) patients required blood transfusion; urinary retention was diagnosed in four cases, surgical side infection was seen in three cases; constipation was a problem in nine cases; retroperitoneal haematoma was observed in one case; and bladder injury happened in two cases. Regarding PIVS, the blood loss, operation time, and hospitalization length were 275 ml, 53 min, and 2.08 days, respectively. Intramuscular haematoma was diagnosed in one patient, and constipation was a problem in one patient. CONCLUSIONS: ASCP and PIVS had same efficiency for the treatment of vault prolapse during the study follow-up. Both operations had good anatomical restoration for rectocele and cystocele. Moreover, PIVS also cured enterocele as an additional advantageous over ASCP. Besides, PIVS has significantly improved stress urinary incontinence, nocturia, and pelvic pain in terms of lower urinary tract symptoms compared to ASCP.
INTRODUCTION AND HYPOTHESIS: The aim of this study was to compare abdominal sacrocolpopexy (ASCP) with posterior intravaginal slingoplasty (PIVS) in terms of lower urinary tract symptoms and anatomical restoration. METHODS: Ninety-two patients underwent PIVS and 98 patients underwent ASCP. RESULTS: Regarding ASCP, the blood loss, operation time, and hospitalization length were 537 ml, 94.5 min, and 3.07 days, respectively. Eight (8) patients required blood transfusion; urinary retention was diagnosed in four cases, surgical side infection was seen in three cases; constipation was a problem in nine cases; retroperitoneal haematoma was observed in one case; and bladder injury happened in two cases. Regarding PIVS, the blood loss, operation time, and hospitalization length were 275 ml, 53 min, and 2.08 days, respectively. Intramuscular haematoma was diagnosed in one patient, and constipation was a problem in one patient. CONCLUSIONS:ASCP and PIVS had same efficiency for the treatment of vault prolapse during the study follow-up. Both operations had good anatomical restoration for rectocele and cystocele. Moreover, PIVS also cured enterocele as an additional advantageous over ASCP. Besides, PIVS has significantly improved stress urinary incontinence, nocturia, and pelvic pain in terms of lower urinary tract symptoms compared to ASCP.
Authors: Ahmet Akin Sivaslioglu; Orhan Gelisen; Ismail Dolen; Hulya Dede; Serdar Dilbaz; Ali Haberal Journal: Aust N Z J Obstet Gynaecol Date: 2005-04 Impact factor: 2.100
Authors: M Marchionni; G L Bracco; V Checcucci; A Carabaneanu; E M Coccia; F Mecacci; G Scarselli Journal: J Reprod Med Date: 1999-08 Impact factor: 0.142
Authors: Linda Brubaker; Geoffrey W Cundiff; Paul Fine; Ingrid Nygaard; Holly E Richter; Anthony G Visco; Halina Zyczynski; Morton B Brown; Anne M Weber Journal: N Engl J Med Date: 2006-04-13 Impact factor: 91.245
Authors: Ingrid E Nygaard; Rebecca McCreery; Linda Brubaker; AnnaMarie Connolly; Geoff Cundiff; Anne M Weber; Halina Zyczynski Journal: Obstet Gynecol Date: 2004-10 Impact factor: 7.661
Authors: Linda Brubaker; Ingrid Nygaard; Holly E Richter; Anthony Visco; Anne M Weber; Geoffrey W Cundiff; Paul Fine; Chiara Ghetti; Morton B Brown Journal: Obstet Gynecol Date: 2008-07 Impact factor: 7.661