Surgical treatment of complete uterovaginal prolapse and concomitant vaginal cancer: a video case report.
Levator myorrhaphy
Native tissue repair
Pelvic organ prolapse
Vaginal cancer
Video
Journal
International urogynecology journal
ISSN: 1433-3023
Titre abrégé: Int Urogynecol J
Pays: England
ID NLM: 101567041
Informations de publication
Date de publication:
08 2020
08 2020
Historique:
received:
11
12
2019
accepted:
11
02
2020
pubmed:
4
3
2020
medline:
24
6
2021
entrez:
4
3
2020
Statut:
ppublish
Résumé
The concurrence of vaginal cancer with irreducible uterine prolapse is rare. Reports about the management of vaginal cancer and concomitant irreducible prolapse are scanty in the literature, and there is no consensus on optimal treatment. In this video case report, we show surgical management of vaginal cancer and concomitant stage IV uterovaginal prolapse. The featured video shows surgical management of vaginal cancer and concomitant stage IV uterovaginal prolapse through anterior colpectomy and retrograde hysterectomy en bloc plus transvaginal levator ani plication as a non-obliterative native-tissue technique for apical support. Final examination revealed good apical support and vaginal "habitability" preservation. The patient underwent five sessions of intracavity brachytherapy for a total of 20 Gy as adjuvant therapy. Surgical management of vaginal cancer and concomitant stage IV uterovaginal prolapse was successfully achieved without complications. Transvaginal levator ani plication can provide a versatile non-obliterative native-tissue technique for apical support, allowing subsequent adjuvant brachytherapy.
Identifiants
pubmed: 32125490
doi: 10.1007/s00192-020-04263-y
pii: 10.1007/s00192-020-04263-y
doi:
Types de publication
Case Reports
Journal Article
Video-Audio Media
Langues
eng
Sous-ensembles de citation
IM
Pagination
1703-1705Références
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