August 23rd, 2019

Treating Total Vaginal Prolapse
Authors:  Luis S. Sanz, M.D.
  Abdominal sacrocolpopexy is a well-described and accepted procedure for the treatment of some cases of vaginal prolapse and surgical failure. Many surgeons in the United States perform it. There are other surgical techniques. If Dr. Ostrzenski thinks that his operation is more effective for these cases, I would be interested to find out the failure rate and if there are any problems with sexual dysfunction, as I have seen at our clinic secondary to shortening and fixation of the vagina. I also disagree that his procedure will work in all cases of recurrent vaginal prolapse.
Dr. Verosko and I mentioned insertion of a titanium scew only when it may not be feasible to use
the S1 vertebral body. I agree with Dr. Ostrzenski that the ideal location is S1.
Last, we referred to our technique as new because of our use of a Vesica PRESS in Suture Anchor System (Boston Scientific, Watertown, Massachusetts) and not because of our use of Prolene mesh, as Dr. Ostrzenski stated.
Keywords:  vaginal prolapse, hysterectomy, abdominal sacrocolpopexy
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