Site-specific prolapse surgery. I. Reliability and durability of native tissue paravaginal repair

Apical Sling for for Site Specific Pelvic Organ Prolapse Repair

INTRODUCTION AND OBJECTIVES: We present a video of a novel transobturator approach to autologous urethral sling placement. METHODS: A 55-year old female presented with worsening pure stress urinary incontinence. She had significant bother from her leakage and after discussion of potential management options preferred an autologous urethral sling, however did not want an intra-abdominal portion ...

Laparoscopic Paravaginal Repair and Burch Urethropexy

Paravaginal Repair: A Laparoscopic Approach

The support of the anterior vaginal wall, with its overlying bladder and urethra, is dependent upon the inherent strength of the pubocervical fascia and its lateral attachment to the pelvic sidewalls. Specifically, the pubocervical fascia is attached to the arcus tendineus fascia pelvis (also termed "the white line"). The arcus tendineus fascia pelvis is a condensation of intervening connective...

Transvaginal mesh or grafts compared with native tissue repair for vaginal prolapse.

BACKGROUND A wide variety of grafts have been introduced with the aim of improving the outcomes of traditional native tissue repair (colporrhaphy) for vaginal prolapse. OBJECTIVES To determine the safety and effectiveness of transvaginal mesh or biological grafts compared to native tissue repair for vaginal prolapse. SEARCH METHODS We searched the Cochrane Incontinence Group Specialised Reg...

Very long-term survival and durability of mitral valve repair for mitral valve prolapse.

BACKGROUND Mitral regurgitation (MR) due to mitral valve prolapse (MVP) is often treatable by surgical repair. However, the very long-term (>10-year) durability of repair in both anterior leaflet prolapse (AL-MVP) and posterior leaflet prolapse (PL-MVP) is unknown. METHODS AND RESULTS In 917 patients (aged 65+/-13 years, 68% male), surgical correction of severe isolated MR due to MVP (679 rep...