Lateral suspension with V-NOTES for the treatment of pelvic organ prolapse with the Salman–Ketenci Gencer technique

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 tech...

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Bibliographic Details
Published in:International Urogynecology Journal 2023-07, Vol.34 (7), p.1583-1591
Main Authors: Ketenci Gencer, Fatma, Salman, Suleyman, Kumbasar, Serkan, Bacak, Havva Betul, Khatib, Ozlem, Kaya, Cihan, Yildiz, Elif, Coskun, Enes Serhat
Format: Article
Language:English
Subjects:
Gynecology
Medicine
Medicine & Public Health
Original Article
Pelvic organ prolapse
Surgical mesh
Urology
Vagina
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Summary: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
ISSN:0937-3462
1433-3023
DOI:10.1007/s00192-022-05433-w