کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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3442736 | 1595029 | 2006 | 5 صفحه PDF | دانلود رایگان |

ObjectiveThe objective of the study was to evaluate our experience with the posterior vaginal sling in an elderly population.Study designElderly patients with significant vaginal prolapse underwent a posterior vaginal sling using the IVS Tunneller device (Tyco Healthcare, United States Surgical, Norwalk, CT). Primary failure was defined as a postoperative pelvic organ prolapse quantitative point C (the apex of the vagina) within 2 cm of the preoperative value. Secondary failure was defined as any portion of the anterior or posterior vaginal walls protruding to or beyond the hymeneal ring (pelvic organ prolapse quantitative points Aa or Ap equal to or greater than 0).ResultsTwenty-one patients underwent the procedure; 19 were seen for follow up. The average age was 70 years (range 60-78). Twelve patients had primary or secondary failures (12 of 19, 63%). There were 5 primary failures (5 of 19, 26%) and 7 secondary failures (7 of 19, 37%). The mean time to failure was 7 weeks (range 1-18).ConclusionIn our elderly population, the posterior vaginal sling has a high failure rate, occurring early in the postoperative period.
Journal: American Journal of Obstetrics and Gynecology - Volume 194, Issue 5, May 2006, Pages 1462–1466