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Female Pelvic Reconstructive Surgery

Abstract

Proper repair of vaginal vault prolapse, whether occurring in conjunction with uterine prolapse or years after hysterectomy, will restore vaginal position, axis, and function. Conservative measures, such as pessaries or colpocleisis may be useful in a small subset of women who are not surgical candidates, but are not likely to be appropriate in most active women presenting for evaluation. Surgical procedures offer the best hope of a permanent correction, and several techniques have been described, both abdominal and vaginal.1,2.

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References

  1. Lane FE (1962) Repair of posthysterectomy vaginal vault prolapse. Obstet Gynecol 126:590–6.

    Google Scholar 

  2. Timmons MC, Addison WA, Addison SB, Cavenar MG (1992) Abdominal sacral colpopexy in 163 women with posthysterectomy vaginal vault prolapse and enterocele. J Reprod Med 37:322–7.

    Google Scholar 

  3. Nichols DH (1982) Sacrospinous fixations for massive eversion of the vagina. Am J Obstet Gynecol 142:901–4.

    PubMed  CAS  Google Scholar 

  4. Morley GW, DeLancey JOL (1988) Sacrospinous ligament fixation for eversion of the vagina. Am J Obstet Gynecol 158:872–81.

    PubMed  CAS  Google Scholar 

  5. Mouritsen L, Hansen PT, Kielmann J, Nielsen EL (1987) Results of abdominal levator-muscle repair in urinary stress incontinence. Scand J Urol Nephrol 21:281–284.

    Article  PubMed  CAS  Google Scholar 

  6. Romanzi LJ, Chaikin DC, Blaivas JG (1999) Effect of genital prolapse on voiding. J Urol 161:581–586.

    Article  PubMed  CAS  Google Scholar 

  7. Lemack GE, Zimmern PE (2001) Voiding cystourethrography and magnetic resonance imaging of the lower urinary tract. In:Coreos J, Schick E (ed) The Urinary Sphincter. Marcel Dekker, New York, pp. 407–422.

    Google Scholar 

  8. Zeidman EJ, Chiang H, Alarcon A et al. (1989) Suprapubic cystostomy using Lowsley retractor. Urology (Urotech supplement):11–12.

    Google Scholar 

  9. Holley RL, Varner RE, Gleason BP, Apfell LA, Scott S (1996) Sexual function after sacrospinous ligament fixation for vaginal vault prolapse. J Reprod Med 41:355–8.

    PubMed  CAS  Google Scholar 

  10. Birnbaum SJ (1973) Rational therapy for the prolapsed vagina. Am J Obstet Gynecol 115:411–19.

    PubMed  CAS  Google Scholar 

  11. Symmonds RE, Williams TJ, Lee RA, Webb M J (1981) Posthysterectomy enterocele and vaginal vault prolapse. Am J Obstet Gynecol 140:852–9.

    PubMed  CAS  Google Scholar 

  12. Arthure HGE, Savage D (1957) Uterine prolapse and prolapse of the vaginal vault treated by sacral hysteropexy. J Obstet Gynaecol Br Empire 64:355–60.

    Article  CAS  Google Scholar 

  13. Embrey MP (1961) An abdominal sling operation for the repair of enterocele and vault prolapse. J Obstet Gynaecol Brit Emp 68:471–4.

    Article  CAS  Google Scholar 

  14. Lane FE (1962) Repair of posthysterectomy vaginal-vault prolapse. Obstet Gynecol 20:72–7.

    Article  PubMed  CAS  Google Scholar 

  15. Amid PK (1997) Classification of biomaterials and their related complication in abdominal wall hernia surgey. Hernia 1:15–21.

    Article  Google Scholar 

  16. Thompson JD (1997) Surgical techniques for pelvic organ prolapse. In:Rock JA, Thompson JD (eds) TeLinde’s Operative Gynaecology, 8th edn. Lippincott-Raven, Philadelphia, pp. 96–78.

    Google Scholar 

  17. Richardson D, Scotti R, Ostergard D (1989) Surgical management of uterine prolapse in young women. J Reprod Med 34:388–92.

    PubMed  CAS  Google Scholar 

  18. O’Brien PM, Ibrahim J (1994) Failure of laparoscopic uterine suspension to provide a lasting cure for uterovaginal prolapse. Br J Obstet Gynaecol 101:707–8.

    Article  PubMed  Google Scholar 

  19. Benson T, McClellan E (1993) The effect of vaginal dissection on the pudendal nerve. Obstet Gynecol 82:387–9.

    PubMed  CAS  Google Scholar 

  20. Villet R, Morice P, Bech A, Salet-Lizée D, Zafiropulo M (1993) Approche abdominale des rectocele et des elytro- celes. Ann Chir 47:626–30.

    PubMed  CAS  Google Scholar 

  21. Cundiff GW, Harris RL, Coates K et al. (1997) Abdominal sacral colpoperineopexy:A new approach for correction of posterior compartment defects and perineal descent asso¬ciated with vaginal vault prolapse. Am J Obstet Gynecol 177:1345–55.

    Article  PubMed  CAS  Google Scholar 

  22. Baessler K, Stanton SL (2002) Sacrocolpopexy with mesh interposition and colposuspension for vault prolapse, rectocele and stress incontinence. Am J Obstet Gynecol:Submitted.

    Google Scholar 

  23. Bump RC, Mattiasson A, Bo K et al. (1996) The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 175:10–17.

    Article  PubMed  CAS  Google Scholar 

  24. Ross JW (1997) Techniques of laparoscopic repair of total vault eversion after hysterectomy. J Am Assoc Gynecol Laparosc 4:173–83.

    Article  PubMed  CAS  Google Scholar 

  25. Dorsey JH, Sharp HT (1995) Laparoscopic sacral colpopexy and other procedures for prolapse. Clin Obstet Gynaecol 9:749–56.

    CAS  Google Scholar 

  26. Valaitis SR, Stanton SL (1994) Sacrocolpopexy:a retrospective study of a clinician’s experience. Br J Obstet Gynaecol 101:518–22.

    Article  PubMed  CAS  Google Scholar 

  27. Lindert ACM van, Groenendijk AG, Scholten PC, Heintz APM (1993) Surgical support and suspension of genital prolapse, including preservation of the uterus, using the Gore-Tex soft tissue patch (a preliminary report). Eur J Obstet Gynecol Reprod Biol 50:133–29.

    Article  PubMed  Google Scholar 

  28. Virtanen H, Hirvonen T, Mäkinen J, Kiilholma P (1994) Outcome of thirty patients who underwent repair of posthysterectomy prolapse of the vaginal vault with abdominal sacral colpopexy. J Am Coll Surg 178:283–7.

    PubMed  CAS  Google Scholar 

  29. Snyder TE, Krantz KE (1991) Abdominal-retroperitoneal sacral colpopexy for the correction of vaginal prolapse. Obstet Gynecol 77:944–9.

    PubMed  CAS  Google Scholar 

  30. Pilsgaard K, Mouritsen L (1999) Follow-up after repair of vaginal vault prolapse with abdominal colposacropexy. Acta Obstet Gynecol Scand 78:66–70.

    Article  PubMed  CAS  Google Scholar 

  31. Baker KR, Beresford JM, Campbell C (1990) Colposacropexy with Prolene mesh. Surg Gynecol Obstet 171:51–4.

    PubMed  CAS  Google Scholar 

  32. Grundsell H, Larsson G (1984) Operative management of vaginal vault prolapse. Br J Obstet Gynaecol 91:808–11.

    Article  PubMed  CAS  Google Scholar 

  33. Addison WA, Livengood CH, Sutton GP, Parker RT (1985) Abdominal sacral colpopexy with Mersilene mesh in the retroperitoneal position in the management of pos- terectomy vaginal vault prolapse and enterocele. Am J Obstet Gynecol 153:140–6.

    PubMed  CAS  Google Scholar 

  34. Patsner B, Orr JW (1990) Intractable venous sacral hemorrhage:Use of stainless steel thumbtacks to obtain hemostatsis. Am J Obstet Gynecol 162:452.

    PubMed  CAS  Google Scholar 

  35. Randall CL, Nichols DH (1971) Surgical treatment of vaginal inversion. Obstet Gynecol 38:327–32.

    PubMed  CAS  Google Scholar 

  36. Cowan W, Morgan HR (1980) Abdominal sacral colpopexy. Am J Obstet Gynecol 138:348–50.

    PubMed  CAS  Google Scholar 

  37. Creighton SM, Stanton SL (1991) The surgical management of vaginal vault prolapse. Br J Obstet Gynaecol 98:1150–4.

    Article  PubMed  CAS  Google Scholar 

  38. Timmons MC, Addison WA (1997) Mesh erosion after abdominal sacral colpopexy. J Pelvic Surg 3:75–80.

    Google Scholar 

  39. Benson JT, Lucente V, McClellan E (1996) Vaginal versus abdominal reconstructive surgery for the treatment of pelvic support defects:A prospective randomized study with long-term outcome evaluation. Am J Obstet Gynecol 175:1418–22.

    Article  PubMed  CAS  Google Scholar 

  40. Schettini M, Fortunato P, Gallucci M (1999) Abdominal sacral colpopexy with prolene mesh. Int Urogynecol J 10:295–9.

    Article  CAS  Google Scholar 

  41. Powell JL, Joseph DB (1999) Abdominal sacral colpopexy for massive genital prolapse and posthysterectomy vaginal vault prolapse. J Gynecol Tech 5:45–50.

    Google Scholar 

  42. Kohli N, Walsh PM, Roat TW, Karram MM (1998) Mesh erosion after abdominal sacrocolpopexy. Obstet Gynecol 92:999–1004.

    Article  PubMed  CAS  Google Scholar 

  43. Imparato E, Aspesi G, Rovetta E, Presti M (1992) Surgical management and prevetnion of vaginal vault prolapse. Surg Gynecol Obstet 175:233–7.

    PubMed  CAS  Google Scholar 

  44. Fedorkow DM, Kalbfleisch RE (1993) Total abdominal hysterectomy at abdominal sacrovaginopexy:A comparative study. Am J Obstet Gynecol 69:641–3.

    Google Scholar 

  45. Patsner B (2000) Mesh erosion into the bladder after abdominal sacral colpopexy. Obstet Gynecol 95:1029.

    Article  PubMed  CAS  Google Scholar 

  46. Drutz HP, Cha LS (1987) Massive genital and vaginal vault prolapse treated by abdominal-vaginal sacropexy with use of Marlex-mesh:Review of literature. Am J Obstet Gynecol 156:387–92.

    PubMed  CAS  Google Scholar 

  47. Soichet S (1970) Surgical correction of total genital prolapse with retention of sexual function. Obstet Gynecol 36:69–75.

    PubMed  CAS  Google Scholar 

  48. Lilford RJ, Johnson N, Batchelor A (1993) Repair of prolapse of a living ligament. Br J Obstet Gynaecol 100:859–860.

    Article  PubMed  CAS  Google Scholar 

  49. Grünberger W, Grünberger V, Wierrani F (1994) Pelvic promontory fixation of the vaginal vault in sixty-two patients with prolapse after hysterectomy. J Am Coll Surg 178:69–72.

    PubMed  Google Scholar 

  50. Weidner AC, Cundiff GW, Harris RL, Addison WA (1997) Sacral osteomyelitis:An unusual complication of abdominal sacral colpopexy. Obstet Gynecol 90:689–91.

    Article  PubMed  CAS  Google Scholar 

  51. Cranney A, Feibel R, Toye BW, Karsh J (1994) Osteomyelitis subsequent to abdominal-vaginal sacropexy. J Rheumatol 21:1769–70.

    PubMed  CAS  Google Scholar 

  52. Cailleux N, Daragon A, Laine F et al. (1991) Spondy- lodiscites infectieuses après cure de prolapsus genital:A propos de 5 cas. J Gynecol Obstet Biol Reprod 20:1074–8.

    CAS  Google Scholar 

  53. Addison WA, Timmons MC, Wall LL, Livengood CH (1989) Failed abdominal sacral colpopexy:Observations and recommendations. Obstet Gynecol 74:480–2.

    PubMed  CAS  Google Scholar 

  54. Todd JW (1978) Mesh suspension for vaginal prolapse. Int Surg 63:91–3.

    PubMed  CAS  Google Scholar 

  55. Vries MJ De, Dessel THJM van, Drogendijk AC, Haas I de, Huikeshoven FJM (1995) Short-term results and long-term patients’ appraisal of abdominal colposacropexy for treatment of genital and vaginal vault prolapse. Eur J Obstet Gynecol Reprod Biol 59:35–8.

    Article  PubMed  Google Scholar 

  56. Leron E, Stanton SL (2001) Sacrohysteropexy with synthetic mesh for the management of uterovaginal prolapse. Br J Obstet Gynaecol 108:629–633.

    Article  CAS  Google Scholar 

  57. Costantini E, Lombi R, Parziani S, Porena M (1998) Colposacropexy with Gore-Tex mesh in marked vaginal and uterovaginal prolapse. Eur Urol 34:111–117.

    Article  PubMed  CAS  Google Scholar 

  58. Banu LF (1997) Synthetic sling for genital prolapse in young women. Int J Gynecol Obstet 57:57–64.

    Article  CAS  Google Scholar 

  59. Timmons MC, Addison WA, Addison SB, Cavenar MG (1992) Abdominal sacral colpopexy in 163 women with posthysterectomy vaginal vault prolapse and enterocele. J Reprod Med 37:323–327.

    PubMed  CAS  Google Scholar 

  60. Feldman GB, Birnbaum SJ (1979) Sacral colpopexy for 82. vaginal vault prolapse. Obstet Gynecol 53:399–401.

    PubMed  CAS  Google Scholar 

  61. Kauppila O, Punnonen R, Teisala K (1986) Operative technique for the repair of posthysterectomy vaginal prolapse. 83. Ann Chir Gynaecol 75:242–4.

    PubMed  CAS  Google Scholar 

  62. Maloney JC, Dunton CJ, Smith K (1990) Repair of vaginal vault prolapse with abdominal sacropexy. J Reprod Med 35:6–10.

    PubMed  CAS  Google Scholar 

  63. Brieger GM, Korda AR, Houghton CRS (1996) Abdomino 84. perineal repair of pulsion enterocele. J Obstet Gynaecol Res 22:151–6.

    PubMed  CAS  Google Scholar 

  64. Hardiman PJ, Drutz HP (1996) Sacrospinous vault suspension and abdominal colposacropexy:Success rates and 86. complications. Am J Obstet Gynecol 175:612–16.

    Article  PubMed  CAS  Google Scholar 

  65. Fox SD, Stanton SL (2000) Vault prolapse and rectocele:assessment of repair using sacrocolpopexy with mesh 87. interposition. Br J Obstet Gynaecol 107:1371–5.

    Article  CAS  Google Scholar 

  66. Lansman HH (1984) Posthysterectomy vault prolapse:Sacral colpopexy with dura mater graft. Obstet Gynecol 63:88. 577–82.

    PubMed  CAS  Google Scholar 

  67. Traiman P, Luca LA De, Silva AAF et al. (1992) Abdominal colpopexy for complete prolapse of the vagina. Int Surg 89. 77:91–5.

    Google Scholar 

  68. Brubaker L (1995) Sacrocolpopexy and the anterior compartment:Support and function. Am J Obstet Gynecol 173:90. 1690–6.

    Article  PubMed  CAS  Google Scholar 

  69. Lee RA, Symmonds RE (1972) Surgical repair of posthysterectomy vault prolapse. Am J Obstet Gynecol 112:953–6.

    PubMed  CAS  Google Scholar 

  70. Baessler K, Schuessler B (2001) Abdominal sacrocolpopexy:anatomy and function of the posterior compartment. Obstet Gynecol 97:678–84.

    Article  PubMed  CAS  Google Scholar 

  71. Given FT, Muhlendorf IK, Browning GM (1993) Vaginal 92. length and sexual function after colpopexy for complete uterovaginal eversion. Am J Obstet Gynecol 169:284–8.

    PubMed  Google Scholar 

  72. Varner RE, Plessala KJ, Richter H (1995) Effects of sacro- colposuspension on the lower urinary tract. Am J Obstet Gynecol 173:1684–9.

    Article  PubMed  CAS  Google Scholar 

  73. Speakman CTM, Madden MV, Nicholls RJ, Kamm MA (1991) Lateral ligament division during rectopexy causes constipation but prevents recurrence:results of a prospect- 94. ive randomized study. Br J Surg 78:1431–3.

    Article  PubMed  CAS  Google Scholar 

  74. Zweifel P (1892) Vorlesungen über Klinische Gynäcologie. Hirschwald, Berlin, pp. 407–15.

    Google Scholar 

  75. Miller NF (1927) A new method of correcting com- 95. plete inversion of the vagina. Surg Gynecol Obstet 44:550–4.

    Google Scholar 

  76. Amreich I (1951) Aetiologie und Operation des Scheiden stump prolapses. Wien Klin Wochenschr 65:74–7.

    Google Scholar 

  77. Richter K (1968) [The surgical anatomy of the vagina- efixatio sacrospinalis vaginalis. A contribution to the surgical treatment of vaginal blind pouch prolapse]. Geburtshilfe Frauenheilkd 28(4):321–7.

    Google Scholar 

  78. Randall CL, Nichols DH (1971) Surgical treatment of vaginal inversion. Obstet Gynecol 38 (3):327–32.

    PubMed  CAS  Google Scholar 

  79. Richter K, Dargent D (1986) La spinofixation (vaginae fixatio sacrospinalis) dans le traitement du prolapses du dôme vaginal aprés hysterectomie. [Spinous fixation (vaginae fixatio sacrospinalis) in the treatment of vaginal prolapse after hysterectomy]. J Gynecol Obstet Biol Reprod (Paris) 15 (8):1081–8.

    Google Scholar 

  80. Jacquetin B (1995) Cure des prolapsus génito-urinaires:la sacrospinofixation bilatérale. [Urogenital prolapse cure:bilatéral sacrospinous fixation]. In:Villet R, Buzelin J-M, Lazorthes F (eds) Les troubles de la statique pelvi- périnéale de la femme. Vigot, Paris, pp. 225–33. 98.

    Google Scholar 

  81. Jacquetin B, Fatton B (1997) Traitement chirurgical des prolapsus génitaux par voie vaginale.[Surgical treatment of genital prolapse cure by vaginal route.]. Gunaïkeia 2 (5):186–92.

    Google Scholar 

  82. Richardson DA, Scotti RJ, Ostergard DR (1989) Surgical management of uterine prolapse in young women. J Reprod Med 34 (6):388–92.

    PubMed  CAS  Google Scholar 

  83. Jacquetin B, Fatton B (1996) Résultats et conséquences de l’intervention de Richardson (sacrospino fixation de l’utérus) [Results and consequences of the Richardson operation (sacrospinous uterine fixation).]. 12ème Congrés de la SIFCP, Bordeaux, 29–30 mars 1996.

    Google Scholar 

  84. Miyazaki FS (1987) Miya Hook ligature carrier for sacrospinous ligament suspension. Obstet Gynecol 70 (2):286–8.

    PubMed  CAS  Google Scholar 

  85. Sharp TR (1993) Sacrospinous suspension made easy. Obstet Gynecol 82 (5):873–5.

    PubMed  CAS  Google Scholar 

  86. Veronikis DK, Nichols DH (1997) Ligature carrier specifically designed for transvaginal sacrospinous colpopexy. Obstet Gynecol 89 (3):478–81.

    Article  PubMed  CAS  Google Scholar 

  87. Lind LR, Choe J, Bhatia NN (1997) An in-line suturing device to simplify sacrospinous vaginal vault suspension. Obstet Gynecol 89 (1):129–32.

    Article  PubMed  CAS  Google Scholar 

  88. Rosenthal C (1998) [On the article by W. Febbraro:Feasibility of bilateral vaginal sacrocolpopexy with a stapler (letter)]. J Gynecol Obstet Biol Reprod (Paris) 27(4):457–8.

    Google Scholar 

  89. Jacquetin B (1998) [Using the Endo Stitch forceps via the vagina:purely by palpation? (letter)]. J Gynecol Obstet Biol Reprod (Paris) 27(2):213–14.

    Google Scholar 

  90. Barksdale PA, Elkins TE, Sanders CK, Jaramillo FE, Gasser RF (1998) An anatomic approach to pelvic hemorrhage during sacrospinous ligament fixation of the vaginal vault. Obstet Gynecol 91 (5):715–18.

    Article  PubMed  CAS  Google Scholar 

  91. Verdeja AM, Elkins TE, Odoi A, Gasser R, Lamoutte C (1995) Transvaginal sacrospinous colpopexy:Anatomic landmarks to be aware of to minimize complications. Am J Obstet Gynecol 173:1468–9.

    Article  PubMed  CAS  Google Scholar 

  92. Sze EHM, Karram MM (1997) Transvaginal repair of vault prolapse:a review. Obstet Gynecol 89 (3):466–75.

    Article  PubMed  CAS  Google Scholar 

  93. Ohana M (1992) Sacrospinofixation vaginale selon Richter; évaluation des résultats en fonction des modifications techniques à partir d’une étude rétrospective de 150 cas. [Vaginal sacrospinous fixation according to Richter; technical modifications evaluated by results of a retrospective study of 150 cases]. Thesis. Faculté de Medecine de Clermont-Ferrand; Université d’Auvergne.

    Google Scholar 

  94. Mansoor A, Ohana M, Jacquetin B (1993) Vaginal sacrospinous colpopexy in the treatment of urogenital prolapse. Abstract, Annual Meeting of IUGA, Nimes, France. Int Urogynecol J 4 (5):253–332.

    Google Scholar 

  95. Fernandez-Busserolles M (1997) Les complications douloureuses de la cure de prolapsus génital par voie vaginale exclusive incluant une sacrospinofixation; étude rétrospective de 800 cas. [Painful complications of the genital prolapse cure by vaginal route only, including sacro-spinous fixation; retrospective study of 800 cases]. Thesis. Faculté de Medecine de Clermont-Ferrand; Université d’Auvergne.

    Google Scholar 

  96. Barksdale PA, Gasser RF, Gauthier CM, Elkins TE, Wall LL (1997) Intraligamentous nerves as a potential source of pain after sacrospinous ligament fixation of the vaginal apex. Int Urogynecol J Pelvic Floor Dysfunct 8 (3):121–5.

    PubMed  CAS  Google Scholar 

  97. Fatton B, Grunberg P, Ohana M et al. (1993) Cure de prolapsus chez la femme jeune:la voie abdominale n’a pas d’avantage sur la voie vaginale; à propos d’une étude prospective randomisée. 1. Résultats anatomiques et sexuels [Cure of prolapse in young women:the abdominal route has no advantage over the vaginal route:a prospective randomized study. 1. Anatomical and sexual results.] J Obstet Gynecol 1 (1):66–72.

    Google Scholar 

  98. Fatton B (1994) Résultats fonctionnels et notamment sexuels de la cure de prolapsus génital chez 30 femmes de moins de 55 ans:étude par tirage au sort voie abdominale- voie vaginale. [Functional results, particularly sexual, of 30 women (less than 55 years old) prolapse cure:random- Thesis, Faculté de médecine de Clermont-Ferrand; Université d’Auvergne.

    Google Scholar 

  99. Jacquetin B, Fatton B (1998) Surgical management of genital prolapse in young women:a prospective randomized study (abstract). 23rd Meeting of the IUGA, Buenos Aires, 1998. Int Urogynecol J 9 (5):360

    Google Scholar 

  100. Given FT Jr, Muhlendorf IK, Browning GM (1993)Vaginal length and sexual function after colpopexy for complete uterovaginal eversion. Am J Obstet Gynecol 169(2):284–7.

    Google Scholar 

  101. Richter K, Albrich W (1981) Long-term results following fixation of the vagina on the sacrospinal ligament by the vaginal route (vaginaefixatio sacrospinalis vaginalis). Am J Obstet Gynecol 141 (7):811–16.

    PubMed  CAS  Google Scholar 

  102. Nichols DH (1982) Sacrospinous fixation for massive eversión of the vagina. Am J Obstet Gynecol 142 (7):901–4.

    PubMed  CAS  Google Scholar 

  103. Morley GW, DeLancey JO (1988) Sacrospinous ligament fixation for eversion of the vagina. Am J Obstet Gynecol 158 (4):872–881.

    PubMed  CAS  Google Scholar 

  104. Brown WE, Hoffman MS, Bouis PJ, Ingram JM, Hopes SL (1989) Management of vaginal vault prolapse:retrospective comparison of abdominal versus vaginal approach. J Fla Med Assoc 76 (2):249–52.

    PubMed  CAS  Google Scholar 

  105. Kettel LM, Hebertson RM (1989) An anatomic evaluation of the sacrospinous ligament colpopexy. Surg Gynecol Obstet 168 (4):318–22.

    PubMed  CAS  Google Scholar 

  106. Cruikshank SH, Cox DW (1990) Sacrospinous ligament fixation at the time of transvaginal hysterectomy. Am J Obstet Gynecol 162 (6):16112–15.

    Google Scholar 

  107. Monk BJ, Ramp JF, Montz FJ, Febherz TB (1991) Sacrospinous fixation for vaginal vault prolapse. Complications and results. J Gynecol Surg 7:87–92.

    Article  Google Scholar 

  108. Backer MH (1992) Jr. Success with sacrospinous suspension of the prolapsed vaginal vault. Surg Gynecol Obstet 175 (5):419–20.

    PubMed  Google Scholar 

  109. Heinonen PK (1992) Transvaginal sacrospinous colpopexy for vaginal vault and complete genital prolapse in aged women. Acta Obstet Gynecol Scand 71 (5):377–81.

    Article  PubMed  CAS  Google Scholar 

  110. Imparato E, Aspesi G, Rovetta E, Presti M (1992) Surgical management and prevention of vaginal vault prolapse. Surg Gynecol Obstet 175:233–7.

    PubMed  CAS  Google Scholar 

  111. Shull BL, Capen CV, Riggs MW, Kuehl TJ (1992) Preoperative and postoperative analysis of site-specific pelvic support defects in 81 women treated with sacrospinous ligament suspension and pelvic reconstruction. Am J Obstet Gynecol 166 (6):1764–8.

    PubMed  CAS  Google Scholar 

  112. Kaminski PF, Sorosky JI, Pees RC, Podczaski ES (1993) Correction of massive vaginal prolapse in an older population:a four-year experience at a rural tertiary care center. J Am Geriatr Soc 41 (1):42–4.

    PubMed  CAS  Google Scholar 

  113. Carey MP, Slack MC (1994) Transvaginal sacrospinous colpopexy for vault and marked uterovaginal prolapse. Br J Obstet Gynaecol 101 (6):536–40.

    PubMed  CAS  Google Scholar 

  114. Holley RL, Varner RE, Gleason BP, Apffel LA, Scott S (1995) Recurrent pelvic support defects after sacrospinous ligament fixation for vaginal vault prolapse. J Amer Coll Surg 180:444–8.

    CAS  Google Scholar 

  115. Sauer HA, Klutke CG (1995) Transvaginal sacrospinous ligament fixation for treatment of vaginal prolapse. J Urol 154:1008–12.

    Article  PubMed  CAS  Google Scholar 

  116. Peters WA, Christenson ML (1995) Fixation of the vaginal apex to the coccygeus fascia during repair of vaginal vault eversion with enterocele. Am J Obstet Gynecol 172:1894–1902.

    Article  PubMed  Google Scholar 

  117. Elkins TE, Hopper JB, Goodfellow K et al. (1995) Initial report of anatomic and clinical comparison of the sacrospinous ligament fixation to the high McCall cul-desac plasty for vaginal cuff fixation at hysterectomy for uterine prolapse. J Pelv Surg 1:12–17.

    Google Scholar 

  118. Pasley WW (1995) Sacrospinous suspension:A local practitioner’s experience. Am J Obstet Gynecol 173:440–8.

    Article  PubMed  CAS  Google Scholar 

  119. Penalver M, Mekki Y, Lafferty H, Escobar M, Angioli R (1998) Should sacrospinous ligament fixation for the management of pelvic support defects be part of a residency program procedure? The University of Miami experience. Am J Obstet Gynecol 178 (2):326–9.

    Article  PubMed  CAS  Google Scholar 

  120. Fatton B, Jacquetin B (1997) Troubles sexuels après chirurgie du prolapsus. [Sexual disorders after surgical treatment of genital prolapse.] 7émes Journées Liégeoises de Gynécologie-Obstétrique (abstract). Gunaïkeia 2 (2):58.

    Google Scholar 

  121. Holley RL, Varner RE, Gleason BP, Apfell LA, Scott S 1996 ) Sexual function after sacrospinous ligament fixation for vaginal vault prolapse. J Reprod Med; 41:355–8.

    PubMed  CAS  Google Scholar 

  122. Paraiso MFR, Ballard LA, Walters MD, Lee JC, Mitchinson AR (1996) Pelvic support defects and visceral and sexual function in women treated with sacrospinous ligament suspension and pelvic reconstruction. Am J Obstet Gynecol; 175:1423–30.

    Article  PubMed  CAS  Google Scholar 

  123. Cruikshank SH (1991) Sacrospinous fixation - should this be performed at the time of vaginal hysterectomy? Am J Obstet Gynecol 164:1072–6.

    PubMed  CAS  Google Scholar 

  124. Scotti RJ (1992) Prophylactic sacrospinous fixation discouraged. Am J Obstet Gynecol 166:1022.

    PubMed  CAS  Google Scholar 

  125. Symmonds RE, Pratt JH (1960) Vaginal prolapse following hysterectomy. Am J Obstet Gynecol 79:899–909.

    PubMed  CAS  Google Scholar 

  126. Symmonds RE, Williams TJ, Lee RA, Webb MJ (1981) Posthysterectomy enterocele and vaginal vault prolapse. Am J Obstet Gynecol 140:852–9.

    PubMed  CAS  Google Scholar 

  127. Cruikshank SH (1987) Preventing posthysterectomy vaginal vault prolapse and enterocele during vaginal hysterectomy. Am J Obstet Gynecol 156:1433–40.

    PubMed  CAS  Google Scholar 

  128. M’Call ML (1957) Posterior culdoplasty; Surgical correction of enterocele during vaginal hysterectomy:A preliminary report. Obstet Gynecol 10:595–602.

    Article  Google Scholar 

  129. Sze EHM, Karram MM (1997) Transvaginal repair of vault prolapse A review. Obstet Gynecol 89:466–75.

    Article  PubMed  CAS  Google Scholar 

  130. Webb MJ, Aronson MP, Ferguson LK (1998) Lee RA. Posthysterectomy Vaginal Vault Prolapse:Primary Repair in 693 Patients. Obstet Gynecol 92:281–5.

    Article  PubMed  CAS  Google Scholar 

  131. DeLancey JOL (1992) Anatomic aspects of vaginal eversion after hysterectomy. Am J Obstet Gynecol 166:1717–24.

    PubMed  CAS  Google Scholar 

  132. Gosling JA (1996) The structure of the bladder neck, urethra and pelvic floor in relation to female urinary incontinence. Int Urogynecol J 7:177–8.

    Article  CAS  Google Scholar 

  133. Barksdale PA, Elkins TE, Sanders CK, Jaramillo FE, Gasser RF (1998) An anatomical approach to pelvic hemorrhage during sacrospinous ligament fixation of the vaginal vault. Obstet Gynecol 91:715–18.

    Article  PubMed  CAS  Google Scholar 

  134. Inmon WB (1963) Pelvic relaxation and repair including prolapse of the vagina following vaginal hysterectomy. South Med J 56:577–82.

    Article  PubMed  CAS  Google Scholar 

  135. Shull BL, Capen CV, Riggs MW (1993) Kuehl TJ Bilateral attachment of the vaginal cuff to iliococcygeus fascia:An effective method of cuff suspension. Am J Obstet Gynecol 168:1696–77.

    Google Scholar 

  136. Meeks GR, Washburne JF, McGehee RP, Wiser WL (1994) Repair of vaginal vault prolapse by suspension of the vagina to iliococcygeus (prespinous) fascia. Am J Obstet Gynecol 171:1444–52.

    PubMed  CAS  Google Scholar 

  137. Miyazaki FS (1987) Miya hook ligature carrier for sacrospinous ligament suspension. Obstet Gynecol 70:286–8.

    PubMed  CAS  Google Scholar 

  138. Dwyer PL, Carey MP, Rosamilia A (1999) Suture injury to the urinary tract in urethral suspension procedures for stress incontinence. Int J Urogynecol 10:15–21.

    Article  CAS  Google Scholar 

  139. Maher CF, Murray CJ, Carey MP, Dwyer PL, Ugoni AM (2001) Iliococcygeus or sacrospinous fixation for vaginal vault prolapse? Obstet Gynecol 98:40–44.

    Article  PubMed  CAS  Google Scholar 

  140. Benson JT, Lucente V, McClellan E (1996) Vaginal versus abdominal reconstructive surgery for the treatment of pelvic support defects; A prospective randomized study with long-term outcome evaluation. Am J Obstet Gynecol 175:1418–22.

    Article  PubMed  CAS  Google Scholar 

  141. Barlow DH, Cardozo LD, Francis RM et al. (1997) Urogenital ageing and its effect on sexual health in older British women. Br J Obstet Gynaecol 104:87–91.

    Article  PubMed  CAS  Google Scholar 

  142. Given FY, Muhlendorf IK, Browning GM (1993) Vaginal length and sexual function after colpopexy for complete uterovaginal eversion. Am J Obstet Gynecol 169:284–8.

    PubMed  Google Scholar 

  143. Emge LA, Durfee RB (1966) Pelvic organ prolapse:four thousand years of treatment. Clin Obstet Gynecol 9:997–1032.

    Article  PubMed  CAS  Google Scholar 

  144. Heaney HS (1942) Technique of vaginal hysterectomy. Surg Clin N Amer 22.

    Google Scholar 

  145. Introduction VB (1998) the epidemiology of uterine leiomyoma. Baillière’s Clin Obstet Gynecol 12:169–76.

    Google Scholar 

  146. Aberdeen Endometrial Ablation Trials Group (1999) A randomized trial of endometrial ablation versus hysterectomy for the treatment of dysfunctional uterine bleeding:outcome at four years. Br J Obstet Gynaecol 106:360–6.

    Article  Google Scholar 

  147. Kovac SR, Cruikshank SH (1993) Successful pregnancies and vaginal deliveries after sacrospinous uterosacral fixation in five of nineteen patients. Am J Obstet Gynecol 168:1778–83.

    PubMed  CAS  Google Scholar 

  148. Langer R, Ron-El R, Neuman M et al. (1988) The value of simultaneous hysterectomy during Burch colpsuspension for urinary stress incontinence. Obstet Gynecol 72:866–9.

    PubMed  CAS  Google Scholar 

  149. Meeks GR, Harris RL (1997) Surgical approach to hysterectomy:abdominal, laparoscopy-assisted or vaginal. Clin Obstet Gynecol 40:886–94.

    Article  PubMed  CAS  Google Scholar 

  150. Dorsey JH, Holtz PM, Griffiths RI, McGrath MM, Steinberg EP (1996) Costs and charges associated with three alternative techniques of hysterectomy. N Engl J Med 335:476–82.

    Article  PubMed  CAS  Google Scholar 

  151. Dorsey JH, Steinberg EP, Hotz PM (1995) Clinical indications for hysterectomy route:patient characteristics or physician preference? Am J Obstet Gynecol 173:1452–60.

    Article  PubMed  CAS  Google Scholar 

  152. Davies A, Vizza E, Bournas N, O’Conner H, Magos A (1998) How to increase the proportion of hysterectomies done vaginally. Am J Obstet Gynecol 179:1080–12.

    Article  Google Scholar 

  153. Richardson RE, Bournas N, Magos AL (1995) Is laparoscopic hysterectomy a waste of time? Lancet 345:36–41.

    Article  PubMed  CAS  Google Scholar 

  154. Summitt RL, Stovall TG, Lipscomb GH, Ling FW (1992) Randomized comparison of Laparoscopically-assisted vaginal hysterectomy with standard vaginal hysterectomy in an outpatient setting. Obstet Gynecol 80:895–901.

    PubMed  Google Scholar 

  155. Kovac RS (1986) Intramyometrial coring as an adjunct to vaginal hysterectomy. Obstet Gynecol 67:131–6.

    PubMed  CAS  Google Scholar 

  156. Hoffman MS, DeCesare S, Kalter C (1994) Abdominal hysterectomy versus transvaginal morcellation for the removal of enlarged uteri. Am J Obstet Gynecol 171:309–15.

    PubMed  CAS  Google Scholar 

  157. Pelosi MA, Pelosi MA (1998) III. Should uterine size alone require laparoscopic assistance? Vaginal hysterectomy for a 2003-g. uterus. J Laparoendosc Surg Tech A 8:99–103.

    Article  CAS  Google Scholar 

  158. Unger JB, Meeks RG (1998) Vaginal hysterectomy in women with history of previous cesarean delivery. Am J Obstet Gynecol 6:1473–8.

    Article  Google Scholar 

  159. Ballard LA, Walters MD (1996) Transvaginal mobilization and removal of ovaries and fallopian tubes after vaginal hysterectomy. Obstet Gynecol 87:35–9.

    Article  PubMed  CAS  Google Scholar 

  160. Sheth SS (1991) The place of oophorectomy at vaginal hysterectomy. Br J Obstet Gynecol 98:662–6.

    Article  CAS  Google Scholar 

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Authors
  1. Gary E. Lemack
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  2. Philippe E. Zimmern
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Editors and Affiliations

  1. Department of Obstetrics and Gynaecology, St. George’s Hospital Medical School, London, UK

    Stuart L. Stanton FRCS, FRCOG, FRANZCOG (Hon)

  2. Department of Urology, Southwestern Medical Center at Dallas, Dallas, Texas, USA

    Philippe E. Zimmern MD, FACS

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Lemack, G.E., Zimmern, P.E. (2003). Middle Compartment. In: Stanton, S.L., Zimmern, P.E. (eds) Female Pelvic Reconstructive Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-0659-3_13

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  • DOI: https://doi.org/10.1007/978-1-4471-0659-3_13

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