Please use this identifier to cite or link to this item: https://hdl.handle.net/11499/37418
Title: An alternative technique in surgical correction of anterior compartment prolapse; Iliococcygeal fixation of the pubocervical fascia by native tissue repair
Authors: Kılıç, Derya
Güler, Tolga
Sivaslioglu, A.
Keywords: Anterior vaginal repair
Iliococcygeal fixation
Pelvic organ prolapse
Pubocervical fascia
Publisher: Elsevier Masson s.r.l.
Abstract: Aim: To present ‘bilateral iliococcygeal fixation of the pubocervical fascia’ as an alternative vaginal surgical technique for anterior compartment repair with native tissue and the surgical outcomes of 30 cases. Materials-Methods: The consecutive 30 cases who admitted to urogynecology clinic with anterior vaginal prolapse/cystocele and underwent anterior compartment repair by bilateral iliococcgeal fixation of the pubocervical fascia by native tissue were included to the study. All cases attended to the postoperative follow-up visits at the sixth and the twelfth months. Results: There were no major or minor intraoperative complications. Overall, in 28 (93.3 %) patients surgical success was achieved at the postoperative 12th month when it was defined as the maximum descent of the anterior segment was proximal to the hymen. During the study period, none of the patients requested or admitted for re-treatment for anterior compartment prolapse. Subjective cure that was assessed by the absence of bulge symptoms was achieved in 29 cases (96.7 %) at first year follow-up. Lower urinary tract symptoms (LUTS) were found to be significantly lower at the first-year postoperative visit compared to pre-operative evaluation. A clinically significant improvement in the quality of life parameters were also noted (mean PFIQ-7 scores = 8.5, 5.6 and 50.8, respectively). Conclusion: Bilateral iliococcygeal fixation of the pubocervical fascia seems to be effective in surgical correction of anterior vaginal prolapse according to our post-operative follow-up results. It is an easy to learn procedure with low complication rates and associated with high patient satisfaction. © 2020 Elsevier Masson SAS
URI: https://hdl.handle.net/11499/37418
https://doi.org/10.1016/j.jogoh.2020.101979
ISSN: 2468-7847
Appears in Collections:PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
Tıp Fakültesi Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection

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