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Current Urology Reports
Erschienen in: Current Urology Reports 11/2016

01.11.2016 | Lower Urinary Tract Symptoms & Voiding Dysfunction (H Goldman and G Badlani, Section Editors)

Minimally Invasive Sacrocolpopexy: How to Avoid Short- and Long-Term Complications

verfasst von: Catherine A. Matthews

Erschienen in: Current Urology Reports | Ausgabe 11/2016

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Abstract

Sacrocolpopexy remains the “gold standard” procedure for management of posthysterectomy vaginal vault prolapse with improved anatomic outcomes compared to native tissue vaginal repair. Despite absence of clinical data, sacrocolpopexy is increasingly being offered to women as a primary treatment intervention for uterine prolapse. While reoperation rates remain low, recurrent prolapse and vaginal mesh exposure appear to increase over time. The potential morbidity associated with sacrocolpopexy is higher than for native tissue vaginal repair with complications including sacral hemorrhage, discitis, small bowel obstruction, port site herniation, and mesh erosion. Complications are more common during the learning curve of minimally invasive sacrocolpopexy. Appropriate case selection is paramount to balancing the potential for prolapse recurrence with the risk of surgical complications. Use of ultra-lightweight polypropylene mesh and vaginal mesh attachment with delayed absorbable suture may reduce the risks of vaginal mesh exposure.
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Metadaten
Titel
Minimally Invasive Sacrocolpopexy: How to Avoid Short- and Long-Term Complications
verfasst von
Catherine A. Matthews
Publikationsdatum
01.11.2016
Verlag
Springer US
Erschienen in
Current Urology Reports / Ausgabe 11/2016
Print ISSN: 1527-2737
Elektronische ISSN: 1534-6285
DOI
https://doi.org/10.1007/s11934-016-0638-7

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