1. Abdominal sacral colpopexy: surgical pearls and outcomes.
- Author
-
Woodruff AJ, Roth CC, and Winters JC
- Subjects
- Abdomen surgery, Aged, Female, Follow-Up Studies, Humans, Laparoscopy methods, Middle Aged, Risk Assessment, Sacrum, Sensitivity and Specificity, Severity of Illness Index, Suture Techniques, Treatment Outcome, Urinary Incontinence, Stress diagnosis, Urinary Incontinence, Stress surgery, Uterine Prolapse diagnosis, Colpotomy methods, Gynecologic Surgical Procedures methods, Robotics, Surgical Mesh, Uterine Prolapse surgery
- Abstract
Vaginal vault prolapse is a challenging form of pelvic organ prolapse that occurs in combination with cystocele, rectocele, or enterocele in nearly 75% of affected patients. Clinical presentation will vary depending on the associated defects. Any successful therapy for vaginal vault prolapse will depend on a thorough evaluation of the vaginal compartments and concomitant lower urinary tract function. Surgical correction of vaginal vault prolapse can be achieved through a variety of vaginal or abdominal approaches. This review focuses on the abdominal approach for vaginal vault prolapse surgery. We review outcomes of abdominal sacral colpopexy (ASC) and available comparisons to vaginal vault suspension. We address the role of laparoscopy and robotics in ASC and examine the outcomes of such procedures. We also discuss available literature on the management of the lower urinary tract in combination with ASC.
- Published
- 2007
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