ArticleInternational urogynecology journal2017
Transvaginal uterosacral ligament suspension for posthysterectomy vaginal vault prolapse repair.
Article in International urogynecology journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 28 citations in OpenAlex.
- Intraoperative Fluorescent Ureter Visualization for Transvaginal High Uterosacral Ligament Suspension for Severe Pelvic Organ Prolapse.International urogynecology journal · 2024Article
- Impact of Mannitol Bladder Distension in the Intraoperative Detection of Ureteral Kinking During Pelvic Floor Surgery.International urogynecology journal · 2024Article
- National Survey on the Management of Genital Prolapse in Italy.International journal of women's health · 2024Article
- Flat Magnetic Stimulation for Urge Urinary Incontinence.Medicina (Kaunas, Lithuania) · 2023Article
- Transvaginal ureteroneocystostomy.Urology case reports · 2023Article
- Efficacy of a Diode Vaginal Laser in the Treatment of the Genitourinary Syndrome of Menopause.Bioengineering (Basel, Switzerland) · 2023Article
- Italian validation of the Pelvic Floor Distress Inventory (PFDI-20) questionnaire.International urogynecology journal · 2023Article
- Flat Magnetic Stimulation for Stress Urinary Incontinence: A 3-Month Follow-Up Study.Healthcare (Basel, Switzerland) · 2023Article
- Flat Magnetic Stimulation for Stress Urinary Incontinence: A Prospective Comparison Study.Bioengineering (Basel, Switzerland) · 2023Article
- Surgical management of vaginal cancer and concomitant complete uterovaginal prolapse.International urogynecology journal · 2022Article
- Transvaginal uterosacral ligament hysteropexy versus hysterectomy plus uterosacral ligament suspension: a matched cohort study.International urogynecology journal · 2020Article
- Surgical treatment of complete uterovaginal prolapse and concomitant vaginal cancer: a video case report.International urogynecology journal · 2020Article
- Transvaginal native-tissue repair of enterocele.International urogynecology journal · 2018Article
- Transvaginal levator myorrhaphy for posthysterectomy vaginal vault prolapse repair.International urogynecology journal · 2018Article
- Tips and tricks for uterosacral ligament suspension: how to avoid ureteral injury.International urogynecology journal · 2018Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisPosthysterectomy vaginal vault prolapse repair represents a challenge for urogynecologists. Surgical management can be successfully achieved with native tissue using a vaginal approach with uterosacral ligament (USL) suspension. However, severe complications have been described, mainly related to ureteral injury.
methodsA 57-year-old woman with symptomatic stage 2 vaginal vault prolapse underwent transvaginal USL suspension according to the described technique.
resultsSurgical procedure was successfully achieved without complications. Final examination revealed excellent apical support and preservation of vaginal length. However, ureteral damage represents the major pitfall of USL suspension. This step-by-step video tutorial may represent an important tool to improve surgical know how and minimize the risk of ureteral injury.
conclusionTransvaginal USL suspension provides an effective technique for apical support without the use of prosthetic materials. Intimate understanding of pelvic anatomy, direct visualization of ureter, and proper suture positioning are the key points to minimize the risk of complications.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.