Hybrid pelvic floor reconstruction using a vaginal flap with unilateral apical fixation in the management of post-hysterectomy prolapse: A retrospective study
Aim. To evaluate the anatomical effectiveness and safety of hybrid pelvic floor reconstruction using a vaginal flap with unilateral apical fixation in women with post-hysterectomy prolapse. Materials and methods. This retrospective study included 62 female patients with stage II–IV vaginal vault...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | Russian |
| Published: |
IP Berlin A.V.
2025-01-01
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| Series: | Гинекология |
| Subjects: | |
| Online Access: | https://gynecology.orscience.ru/2079-5831/article/viewFile/679550/199577 |
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| Summary: | Aim. To evaluate the anatomical effectiveness and safety of hybrid pelvic floor reconstruction using a vaginal flap with unilateral apical fixation in women with post-hysterectomy prolapse.
Materials and methods. This retrospective study included 62 female patients with stage II–IV vaginal vault prolapse (according to the POP-Q classification) who underwent a novel surgical technique. The primary endpoint was anatomical success; secondary endpoints included changes in quality of life (PFDI-20, ICIQ-SF questionnaires) and patient satisfaction with treatment outcomes.
Results. The mean follow-up period was 14.86 months. Anatomical success was achieved in 93.5% of cases. No cases of implant erosion or chronic pelvic pain were reported. Significant improvement in pelvic floor dysfunction symptoms was observed across all PFDI-20 subscales (p0.001). Vaginal length significantly increased postoperatively. Recurrence of prolapse occurred in 6.5% of cases and required reoperation. Two cases of intraoperative bladder injury were noted, which did not affect the final outcomes.
Conclusion. Hybrid pelvic floor reconstruction using a vaginal flap with unilateral apical fixation demonstrated high anatomical efficacy and safety in the correction of post-hysterectomy prolapse. However, further prospective studies with control groups and longer follow-up are needed to confirm these findings. |
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| ISSN: | 2079-5696 2079-5831 |