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Outcomes data show durability of uterosacral ligament vault suspension.(Gynecology)
ATLANTA -- Uterosacral ligament vault suspension for the repair of enterocele and vaginal vault prolapse is a durable procedure, 5-year outcomes data suggest.
Of 110 patients who underwent the procedure for advanced pelvic organ prolapse, 72 returned for follow-up assessment at a mean of 5.1 years. Vaginal hysterectomy was performed in 37% of the patients, anterior colporrhaphy was performed in 58%, posterior colporrhaphy was performed in 87%, and a urethral sling was performed in 34%.
Surgical failure, defined as recurrent symptomatic prolapse of stage II or greater in at least one segment, occurred in 15%, and only two patients had further surgery for prolapse. William A.Z. Silva, M.D., reported at the annual meeting of the American Urogynecologic Society.
Furthermore, most patients had improvement or maintenance of pelvic floor function. Overall, ...
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Source: HighBeam Research, Outcomes data show durability of uterosacral ligament vault...