Laparoscopic Nerve-Preserving Colposacropexy for Surgical Management of Neovaginal Prolapse - 05/07/15
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Abstract |
Background |
Neovaginal prolapse occurs rarely, and a standard treatment has not yet been defined.
Case |
We report 2 cases of patients with vaginal agenesis with a symptomatic neovaginal prolapse; one occurring 25 years after self-dilation and another occurring 24 years after sigmoid vaginoplasty. At 48 and 18 months after surgical treatment with laparoscopic nerve-preserving colposacropexy using 2 types of mesh and 2 kinds of sutures to anchor the mesh at the neovaginal wall, both women are asymptomatic and highly satisfied with the result, without prolapse recurrence or mesh/suture erosion.
Summary and Conclusion |
For the surgical management of neovaginal prolapse after sigmoid vaginoplasty and vagina creation after self-dilation, we recommend the nerve-preserving sacrocolpopexy as a safe method to achieve durable functional outcomes and good anatomic vaginal level I and II support.
Le texte complet de cet article est disponible en PDF.Key Words : Laparoscopic nerve-preserving colposacropexy, Neovaginal prolapse
Plan
The authors indicate no conflict of interest. |
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