학술논문
Lateral suspension with V-NOTES for the treatment of pelvic organ prolapse with the Salman-Ketenci Gencer technique.
Document Type
Academic Journal
Author
Ketenci Gencer F; Istanbul Gaziosmanpasa Training and Research Hospital, Department of Obstetrics and Gynecology, University of Health Sciences, Hizirefendi Street, 34255, Istanbul, Gaziosmanpasa, Turkey.; Salman S; Istanbul Gaziosmanpasa Training and Research Hospital, Department of Obstetrics and Gynecology, University of Health Sciences, Hizirefendi Street, 34255, Istanbul, Gaziosmanpasa, Turkey. sleymansalman@gmail.com.; Kumbasar S; Istanbul Gaziosmanpasa Training and Research Hospital, Department of Obstetrics and Gynecology, University of Health Sciences, Hizirefendi Street, 34255, Istanbul, Gaziosmanpasa, Turkey.; Bacak HB; Istanbul Gaziosmanpasa Training and Research Hospital, Department of Obstetrics and Gynecology, University of Health Sciences, Hizirefendi Street, 34255, Istanbul, Gaziosmanpasa, Turkey.; Khatib O; Istanbul Gaziosmanpasa Training and Research Hospital, Department of Obstetrics and Gynecology, University of Health Sciences, Hizirefendi Street, 34255, Istanbul, Gaziosmanpasa, Turkey.; Kaya C; Acibadem Bakirkoy Hospital, Department of Obstetrics and Gynecology, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey.; Yildiz E; Istanbul Gaziosmanpasa Training and Research Hospital, Department of Obstetrics and Gynecology, University of Health Sciences, Hizirefendi Street, 34255, Istanbul, Gaziosmanpasa, Turkey.; Coskun ES; Istanbul Gaziosmanpasa Training and Research Hospital, Department of Obstetrics and Gynecology, University of Health Sciences, Hizirefendi Street, 34255, Istanbul, Gaziosmanpasa, Turkey.
Source
Publisher: Springer Country of Publication: England NLM ID: 101567041 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1433-3023 (Electronic) Linking ISSN: 09373462 NLM ISO Abbreviation: Int Urogynecol J Subsets: MEDLINE
Subject
Language
English
Abstract
Introduction and Hypothesis: Pelvic organ prolapse (POP) is a common morbidity and 10-20% of the patients need surgical correction. Sacrocolpopexy or sacrohysteropexy procedures are satisfactory but still difficult. Lateral suspension (LS) as a safe and simple technique has become an alternative technique recently. Vaginal natural orifice transluminal endoscopic surgery (V-NOTES) is also a new modality and LS using V-NOTES has not been performed previously and should be promising.
Methods: This prospective observational pilot study was conducted with a total of 38 women with stage 3 and 4 POP according to the Pelvic Organ Prolapse Quantification grading system (POP-Q). Lateral suspension via V-NOTES was performed with the Salman-Ketenci Gencer technique using a mesh for POP. The preoperative and postoperative 6-month POP-Q stages together with Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) scores were recorded and compared.
Results: Comparison of the preoperative and postoperative 6-month POP-Q stages of the patients were statistically significant except for the total vaginal length (p<0.01). Compared with the preoperative total and subscale scores of PISQ-12, the postoperative values were considerably improved (p<0.001).
Conclusions: With the Salman-Ketenci Gencer technique not only good anatomical but also good functional results were obtained with V-NOTES. Surgeons may focus on uterine sparing while using the Salman-Ketenci Gencer technique for apical prolapse owing to the higher rate of complications related to the colposuspension and better sexual results after the cervicosuspension.
(© 2023. The International Urogynecological Association.)
Methods: This prospective observational pilot study was conducted with a total of 38 women with stage 3 and 4 POP according to the Pelvic Organ Prolapse Quantification grading system (POP-Q). Lateral suspension via V-NOTES was performed with the Salman-Ketenci Gencer technique using a mesh for POP. The preoperative and postoperative 6-month POP-Q stages together with Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) scores were recorded and compared.
Results: Comparison of the preoperative and postoperative 6-month POP-Q stages of the patients were statistically significant except for the total vaginal length (p<0.01). Compared with the preoperative total and subscale scores of PISQ-12, the postoperative values were considerably improved (p<0.001).
Conclusions: With the Salman-Ketenci Gencer technique not only good anatomical but also good functional results were obtained with V-NOTES. Surgeons may focus on uterine sparing while using the Salman-Ketenci Gencer technique for apical prolapse owing to the higher rate of complications related to the colposuspension and better sexual results after the cervicosuspension.
(© 2023. The International Urogynecological Association.)