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.
- Siff, LN; Barber, MD
- March 2016
Volume / Issue
- 43 / 1
Start / End Page
- 69 - 81
Electronic International Standard Serial Number (EISSN)
Digital Object Identifier (DOI)
- United States