2021 Volume 17 Issue 1 Pages 6-13
Introduction: The female pelvic organ prolapses (POP) patients are increasing rapidly due to demographic change. Therefore, low cost, low invasive, and low recurrence surgical methods are desirable to prevent expanding social and medical costs. However, current POP surgeries such as native tissue repair colporrhaphy (NTR), transvaginal mesh (TVM), and laparoscopic sacro colpopexy (LSC) are not meet these requirements, due to because of high recurrence rate of NTR, mesh complications of TVM and high cost of LSC, respectively. Here we attempted to develop a new simple, low cost, low recurrence, and minimal invasive trans-vaginal POP surgical method.
Method: Suture needle with polypropylene thread was directly sewed into pubocervical fascia from vaginal surface without any incision and sewing is continued from the fascia of bulbocavernous muscle on left side vaginal inlet, through the anterior vaginal wall to the right-side uterosacral ligament (USL) then return to left side uterosacral ligament passing through the anterior vaginal wall. The same sewing was done at right-side as same manner.
By these procedures, a net structure with polypropylene threads was formed and anterior vagina with cystocele was covered and hammock-like suspended by it between both USL and fascia of bulbocavernous muscle at both side on the inlet of the vagina.
Results: Among thirty-six of cystocele treated with this method, one recurrence found but no other recurrence nor complication.
Discussion: This newly developed POP operation is a simple, low cost, low recurrence, minimally invasive, and widely applicable operation for POP.
