Skip to main content

Advertisement

SpringerLink
Log in

Short-term efficacy and complications of posterior intravaginal slingplasty

  • Original Article
  • Published:
International Urogynecology Journal Aims and scope Submit manuscript

Abstract

This study was performed to evaluate the efficacy and complications of the posterior intravaginal slingplasty (IVS). A retrospective chart review was performed. Ninety IVS procedures were performed from January 2004 to June 2005. The group consisted of predominantly nonsmoking, Caucasian, postmenopausal women with a median age of 62 years and a median parity of 3. The mean follow-up was 33 ± 23.2 weeks with a median of 31.9 weeks. There were no intraoperative bladder, bowel, or vascular injuries. Overall, 11 out of 90 patients developed recurrent or de novo prolapse; 4.4% of these had recurrent apical prolapse. There was a 17.8% incidence of mesh erosion. Only 1 of the 11 patients with recurrent prolapse had concomitant mesh erosion. The procedure demonstrated an unacceptably high erosion rate. The adoption of newer mesh techniques based on the slingplasty concept or the use of the multifilament polypropylene tape should be scrutinized.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Olsen AL, Smith VJ, Bergstrom JO, Collin JC, Clark AL (1997) Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol 89:501–506

    Article  PubMed  CAS  Google Scholar 

  2. DeLancey JO (1992) Anatomic aspects of vaginal eversion after hysterectomy. Am J Obstet Gynecol 166:1717–1724

    PubMed  CAS  Google Scholar 

  3. Maher CF et al (2004) Abdominal sacral colpopexy or vaginal sacrospinous colpopexy for vaginal vault prolapse: a prospective randomized study. Am J Obstet Gynecol 190:20–26

    Article  PubMed  Google Scholar 

  4. Benson J et al (1996) Vaginal versus abdominal reconstructive surgery for the treatment of pelvic support defects: a prospective randomized study with long-term outcome evaluation. Am J Obstet Gynecol 175:1418–1422

    Article  PubMed  CAS  Google Scholar 

  5. Paraiso MF et al (1996) Pelvic support defects and visceral and sexual function in women Treated with sacrospinous ligament suspension and pelvic reconstruction. Am J Obstet Gynecol 175:1423–1431

    Article  PubMed  CAS  Google Scholar 

  6. Shull BL et al (1992) Preoperative and postoperative analysis of site-specific pelvic support defects in 81 women treated with sacrospinous ligament suspension and pelvic reconstruction. Am J Obstet Gynecol 166:1764–1771

    PubMed  CAS  Google Scholar 

  7. Holley RL et al (1995) Recurrent pelvic support defects after sacrospinous ligament fixation for vaginal vault prolapse. J Am Coll Surg 180:444–448

    PubMed  CAS  Google Scholar 

  8. Petros PE (2001) Vault Prolapse II: restoration of dynamic vaginal supports by infracoccygeal sacropexy, an axial day-case vaginal procedure. Int Urogynecol J 12:296–303

    Article  CAS  Google Scholar 

  9. Baden WF, Walker TA (1972) Genesis of the vaginal profile: a correlated classification of vaginal relaxation. Clin Obstet Gynecol 15:1048–1054

    Article  PubMed  CAS  Google Scholar 

  10. Farnsworth BN (2002) Posterior intravaginal slingplasty (infracoccygeal sacropexy) for severe posthysterectomy vaginal vault prolapse—a preliminary report on efficacy and safety. Int Urogynecol J 13:4–8

    Article  CAS  Google Scholar 

  11. Jordaan DJ, Prollius A, Cronje HS, Nel M (2006) Posterior intravaginal slingplasty for vaginal prolapse. Int Urogynecol J 17:326–329

    Article  CAS  Google Scholar 

  12. Neuman M, Lavy Y (2007) Posterior intra-vaginal slingplasty for the treatment of vaginal apex prolapse: medium-term results of 140 operations with a novel procedure. Eur J Obstet Gynecol Reprod Biol DOI 10.1016/j.ejogrb.2006.07.035

  13. Biertho I, Dallemagne B, Dewandre JM, Markiewicz S, Monami B, Wahlen C, Weerts J, Jehaes C (2004) Intravaginal slingplasty: short term results. Acta Chir Belg 104(6):700–704

    PubMed  CAS  Google Scholar 

  14. Yildirim A, Basok EK, Gulpinar T, Gurbuz C, Zemheri E, Tokuc R (2005) Tissue reactions of 5 sling materials and tissue material detachment strength of 4 synthetic mesh materials in a rabbit model. J Urol 174(5):2037–2040

    Article  PubMed  Google Scholar 

  15. Siegel AL, Kim M, Goldstein M, Levey S, Ilbeigi P (2005) High incidence of vaginal mesh erosion using the intravaginal slingplasty sling. J Urol 174:1308–1311

    Article  PubMed  Google Scholar 

  16. Rane A, Lim YN, Withey G, Muller R (2004) Magnetic resonance imaging findings following three different vaginal vault prolapse repair procedure: a randomized study. Aust N Z J Obstet Gynaecol 44:135–139

    Article  PubMed  Google Scholar 

  17. Sivaslioglu AA, Unlubilgin E, Dolen I (2007) The multifilament polypropylene tape erosion trouble: tape structure vs surgical technique. Which one is the cause? Int Urogynecol J Pelvic Floor Dysfunct DOI 10.1007/s00192-007-0456-z

Download references

Conflicts of interest

None.

Author information

Authors and Affiliations

  1. Department of Obstetrics and Gynecology, University of Iowa Hospitals and Clinics, Iowa, IA, USA

    Ali M. Luck

  2. Department of Obstetrics and Gynecology, St. Louis University, St. Louis, MO, USA

    Andrew C. Steele, Fah Che Leong & Mary T. McLennan

Authors
  1. Ali M. Luck
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Andrew C. Steele
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Fah Che Leong
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Mary T. McLennan
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ali M. Luck.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Luck, A.M., Steele, A.C., Leong, F.C. et al. Short-term efficacy and complications of posterior intravaginal slingplasty. Int Urogynecol J 19, 795–799 (2008). https://doi.org/10.1007/s00192-007-0527-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00192-007-0527-1

Keywords

Search

Navigation