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Native Tissue Prolapse Repairs: Comparative Effectiveness Trials.

Research paper by Lauren N LN Siff, Matthew D MD Barber

Indexed on: 18 Feb '16Published on: 18 Feb '16Published in: Obstetrics and Gynecology Clinics of North America



Abstract

This report reviews the success rates and complications of native tissue (nonmesh) vaginal reconstruction of pelvic organ prolapse by compartment. For apical prolapse, both uterosacral ligament suspensions and sacrospinous ligament fixations are effective and provided similar outcomes in anatomy and function with few adverse events. In the anterior compartment, traditional colporrhaphy technique is no different than ultralateral suturing. In the posterior compartment, transvaginal rectocele repair is superior to transanal repair. For uterine preservation, sacrospinous hysteropexy is not inferior to vaginal hysterectomy with uterosacral ligament suspension for treatment of apical uterovaginal prolapse.