Abdominal high uterosacral colpopexy and abdominal sacral colpopexy with mesh for pelvic organ prolapse.

摘要

Of the available abdominal procedures to surgically correct pelvic organ prolapse (POP), high uterosacral colpopexy enables the vaginal apex to be fixed proximal to the sacrum, restores normal vaginal length, and strengthens the endopelvic fascia by connecting the anterior and posterior endopelvic fascia, but with already defective native tissue . The abdominal sacral colpopexy with mesh procedure is effective in the correction of advancedPOP, in which the endopelvic fascia and supporting tissues are severely defective, but life-threatening complications such as hemorrhage from presacral and perirectal vessels might occur . Thus, this study was conducted to assess the treatment outcomes of the aforementioned two different abdominal procedures, each with its merits and faults, as a surgical means of treating POP patients graded by the Pelvic Organ Prolapse Quantitative (POP-Q) system.