Native Tissue Prolapse Repairs: Comparative Effectiveness Trials.

Journal Article (Journal Article;Review)

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.

Full Text

Duke Authors

Cited Authors

  • Siff, LN; Barber, MD

Published Date

  • March 2016

Published In

Volume / Issue

  • 43 / 1

Start / End Page

  • 69 - 81

PubMed ID

  • 26880509

Electronic International Standard Serial Number (EISSN)

  • 1558-0474

Digital Object Identifier (DOI)

  • 10.1016/j.ogc.2015.10.003


  • eng

Conference Location

  • United States