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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| Language: | Russian |
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IP Berlin A.V.
2025-01-01
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| Series: | Гинекология |
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| Online Access: | https://gynecology.orscience.ru/2079-5831/article/viewFile/679550/199577 |
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| author | Dmitry D. Shkarupa Rustam A. Shakhaliev Nikita D. Kubin Andrei S. Shulgin Zaynulabid I. Muldarov Firdavskhuja P. Sultonov |
| author_facet | Dmitry D. Shkarupa Rustam A. Shakhaliev Nikita D. Kubin Andrei S. Shulgin Zaynulabid I. Muldarov Firdavskhuja P. Sultonov |
| author_sort | Dmitry D. Shkarupa |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-1a3f7cdc99c949a895e53f295873f2ad |
| institution | DOAJ |
| issn | 2079-5696 2079-5831 |
| language | Russian |
| publishDate | 2025-01-01 |
| publisher | IP Berlin A.V. |
| record_format | Article |
| series | Гинекология |
| spelling | doaj-art-1a3f7cdc99c949a895e53f295873f2ad2025-08-20T03:21:46ZrusIP Berlin A.V.Гинекология2079-56962079-58312025-01-0127214815210.26442/20795696.2025.2.20328179625Hybrid pelvic floor reconstruction using a vaginal flap with unilateral apical fixation in the management of post-hysterectomy prolapse: A retrospective studyDmitry D. Shkarupa0https://orcid.org/0000-0003-0489-3451Rustam A. Shakhaliev1https://orcid.org/0000-0003-2450-7044Nikita D. Kubin2https://orcid.org/0000-0001-5189-4639Andrei S. Shulgin3https://orcid.org/0000-0002-8655-7234Zaynulabid I. Muldarov4https://orcid.org/0009-0006-8898-8851Firdavskhuja P. Sultonov5https://orcid.org/0000-0002-9796-1435Saint Petersburg State UniversitySaint Petersburg State UniversitySaint Petersburg State UniversitySaint Petersburg State UniversitySaint Petersburg State UniversitySaint Petersburg State UniversityAim. 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.https://gynecology.orscience.ru/2079-5831/article/viewFile/679550/199577pelvic organ prolapsevaginal flappost-hysterectomy prolapsecorrection of post-hysterectomy prolapse |
| spellingShingle | Dmitry D. Shkarupa Rustam A. Shakhaliev Nikita D. Kubin Andrei S. Shulgin Zaynulabid I. Muldarov Firdavskhuja P. Sultonov Hybrid pelvic floor reconstruction using a vaginal flap with unilateral apical fixation in the management of post-hysterectomy prolapse: A retrospective study Гинекология pelvic organ prolapse vaginal flap post-hysterectomy prolapse correction of post-hysterectomy prolapse |
| title | Hybrid pelvic floor reconstruction using a vaginal flap with unilateral apical fixation in the management of post-hysterectomy prolapse: A retrospective study |
| title_full | Hybrid pelvic floor reconstruction using a vaginal flap with unilateral apical fixation in the management of post-hysterectomy prolapse: A retrospective study |
| title_fullStr | Hybrid pelvic floor reconstruction using a vaginal flap with unilateral apical fixation in the management of post-hysterectomy prolapse: A retrospective study |
| title_full_unstemmed | Hybrid pelvic floor reconstruction using a vaginal flap with unilateral apical fixation in the management of post-hysterectomy prolapse: A retrospective study |
| title_short | Hybrid pelvic floor reconstruction using a vaginal flap with unilateral apical fixation in the management of post-hysterectomy prolapse: A retrospective study |
| title_sort | hybrid pelvic floor reconstruction using a vaginal flap with unilateral apical fixation in the management of post hysterectomy prolapse a retrospective study |
| topic | pelvic organ prolapse vaginal flap post-hysterectomy prolapse correction of post-hysterectomy prolapse |
| url | https://gynecology.orscience.ru/2079-5831/article/viewFile/679550/199577 |
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