pelviperineology. 2020; 39(2): 60-64 | DOI: 10.34057/PPj.2020.39.02.006

Transperineal bilateral sacrospineous colpofixation for the treatment of female genital prolapse – 5-year results

FRANZISKA C. HEMPTENMACHER¹, STEFAN OLLIG², ANDREAS SÜSSE³, DIRK G. KIEBACK^1
1Department of Obstetrics and Gyneacology, Ev.-Luth. Diakonissenanstalt Flensburg, Lehrkrankenhaus der Christian-Albrechts-Universität zu Kiel und der Universität zu Lübeck, Germany, ²Department of Obstetrics and Gyneacology Diakonissenkrankenhaus Dresden, Dresden, Germany, ³Department of Obstetrics and Gynaecology HELIOS Klinikum Aue, Aue, Germany

Objective: :Female genital prolapse is observed with increasing frequency in the era of large aging populations. Various surgical techniques have been established, varying in performance, difficulty and outcome, specifically complications. In order to optimize both aspects, we have developed a refined transperineal bilateral sacrospineous colpofixation technique (TPBCF) and given a detailed, step-by-step description of the technique.
Materials and Methods: :In a study of 162 patients with vaginal prolapse surgical and functional outcomes of TPBCF have been evaluated with 5-year follow-up.
Results: :No rectal injury was observed re-intervention for any complications was limited to three erosions with only one requiring resection of 2 cm of tape in the median position followed by successful re-closure. Prolapse correction was found at 5 years to be 61% POPQ 0 and 39% POPQ1.
Conclusion: :These results were stable when compared with follow-up data at 6 months postoperatively. The authors conclude, that TPBCF is an efficient minimally invasive technique for the treatment of female genital prolapse with a favourable effect/complication ratio.

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Cite This Article

HEMPTENMACHER F, OLLIG S, SÜSSE A, KIEBACK D. Transperineal bilateral sacrospineous colpofixation for the treatment of female genital prolapse – 5-year results. 2020; 39(2): 60-64

Corresponding Author: HEMPTENMACHER F.

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