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Erschienen in: International Urogynecology Journal 3/2005

01.06.2005 | Original Article

Surgical reinforcement of support for the vagina in pelvic organ prolapse: concurrent iliococcygeus fascia colpopexy (Inmon technique)

verfasst von: Masayasu Koyama, Susumu Yoshida, Shinsuke Koyama, Kazuhide Ogita, Tadashi Kimura, Koichiro Shimoya, Yuji Murata, Ichiro Nagata

Erschienen in: International Urogynecology Journal | Ausgabe 3/2005

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Abstract

To reinforce the support of the vagina, concurrent use of iliococcygeus fascia colpopexy with the McCall culdeplasty was scheduled for primary uterine prolapse. Forty-five women with primary uterine prolapse without stress urinary incontinence were treated by McCall culdeplasty alone or McCall culdeplasty plus iliococcygeus fascia colpopexy for suspension of the upper portion of the vagina. Recurrence of vaginal support defects were carefully followed for 15–50 months. Additional iliococcygeus fascia colpopexy did not change with the axis of the vagina obtained by McCall culdeplasty, although it prolonged total operation time by 32 min and increased blood loss by 94 ml. Two cases (8.3%) had postoperative vaginal defects in the group undergoing combined procedures and seven recurrent cases (33.3%) were observed in the group undergoing McCall culdeplasty alone. The durability of the combined procedures was superior to that of the modified McCall culdeplasty alone by Kaplan-Meier analysis. These results suggest that iliococcygeus fascia colpopexy is reasonably safe and strengthens not only the attachment of the upper part of the vagina but also that of the anterolateral vaginal wall.
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Metadaten
Titel
Surgical reinforcement of support for the vagina in pelvic organ prolapse: concurrent iliococcygeus fascia colpopexy (Inmon technique)
verfasst von
Masayasu Koyama
Susumu Yoshida
Shinsuke Koyama
Kazuhide Ogita
Tadashi Kimura
Koichiro Shimoya
Yuji Murata
Ichiro Nagata
Publikationsdatum
01.06.2005
Verlag
Springer-Verlag
Erschienen in
International Urogynecology Journal / Ausgabe 3/2005
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-004-1240-y

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