A pilot study on surgical reduction of the levator hiatus-the puborectalis sling.
3D pelvic floor ultrasound
Levator hiatal area
Mesh
Pelvic organ prolapse
Prolapse recurrence
Journal
International urogynecology journal
ISSN: 1433-3023
Titre abrégé: Int Urogynecol J
Pays: England
ID NLM: 101567041
Informations de publication
Date de publication:
12 2019
12 2019
Historique:
received:
08
04
2019
accepted:
16
07
2019
pubmed:
8
8
2019
medline:
21
5
2020
entrez:
8
8
2019
Statut:
ppublish
Résumé
Female pelvic organ prolapse recurrence has been shown to be associated with levator hiatal distensibility. Reducing hiatal size surgically may reduce recurrence risk. This study aims to demonstrate a novel surgical procedure, the puborectalis sling (PR sling), designed to reduce the levator hiatal area, and to assess the medium-term safety and efficacy of this procedure. One hundred fifteen women undergoing prolapse repair with a pre-operative hiatal area on Valsalva of ≥ 35 cm One hundred ten patients were evaluated at least 3 months post-operatively. At 2.5 years average follow-up, there was an average of 12 cm The levator hiatal area can be reduced surgically, with almost 30% reduction in area seen in this pilot study. The reduction was significant and sustained up to 2 years with no major long-term complications.
Identifiants
pubmed: 31388717
doi: 10.1007/s00192-019-04062-0
pii: 10.1007/s00192-019-04062-0
doi:
Types de publication
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
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