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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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| Published in: | International Urogynecology Journal 2023-07, Vol.34 (7), p.1583-1591 |
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| container_title | International Urogynecology Journal |
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| creator | Ketenci Gencer, Fatma Salman, Suleyman Kumbasar, Serkan Bacak, Havva Betul Khatib, Ozlem Kaya, Cihan Yildiz, Elif Coskun, Enes Serhat |
| description | 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 |
| doi_str_mv | 10.1007/s00192-022-05433-w |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2763333039</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2763333039</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-f929b8a68b9ad8c97e01643c9c20e16f81b6b81c674c8e53aabd887c49978f83</originalsourceid><addsrcrecordid>eNp9kcFu1DAQhi0EokvhBTggS1y4hI7txLGPqCoFsWoPXXG1HO-kmypxgu10xY134AV4Fh6FJ8HbtCBxYKTRWPL3_zPST8hLBm8ZQH0SAZjmBfDcVSlEsX9EVuzwEMDFY7ICLepClJIfkWcx3gBACRU8JUdCSl5pLlfkdm0TBtvTOMcJfexGT_dd2tHPxcXl5uyKtmOgaYc0BbRpQJ_o2NIJ-9vO0TFcW0-nMPZ2irjoDuyV7Qfrf337_gkTetf9_HGeB2YjdDvffZnxOXnS2j7ii_t5TDbvzzanH4r15fnH03frwom6SkWruW6UlarRdqucrhGYLIXTjgMy2SrWyEYxJ-vSKayEtc1WqdqVWteqVeKYvFls8415a0xm6KLDvrcexzkaXkuRC4TO6Ot_0JtxDj4fZ7jiquJSVyxTfKFcGGMM2JopdIMNXw0DcwjFLKGYHIq5C8Xss-jVvfXcDLj9I3lIIQNiAWL-8tcY_u7-j-1vSaqaKQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2828526951</pqid></control><display><type>article</type><title>Lateral suspension with V-NOTES for the treatment of pelvic organ prolapse with the Salman–Ketenci Gencer technique</title><source>Springer Link</source><creator>Ketenci Gencer, Fatma ; Salman, Suleyman ; Kumbasar, Serkan ; Bacak, Havva Betul ; Khatib, Ozlem ; Kaya, Cihan ; Yildiz, Elif ; Coskun, Enes Serhat</creator><creatorcontrib>Ketenci Gencer, Fatma ; Salman, Suleyman ; Kumbasar, Serkan ; Bacak, Havva Betul ; Khatib, Ozlem ; Kaya, Cihan ; Yildiz, Elif ; Coskun, Enes Serhat</creatorcontrib><description>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.</description><identifier>ISSN: 0937-3462</identifier><identifier>EISSN: 1433-3023</identifier><identifier>DOI: 10.1007/s00192-022-05433-w</identifier><identifier>PMID: 36625926</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Gynecology ; Medicine ; Medicine & Public Health ; Original Article ; Pelvic organ prolapse ; Surgical mesh ; Urology ; Vagina</subject><ispartof>International Urogynecology Journal, 2023-07, Vol.34 (7), p.1583-1591</ispartof><rights>The International Urogynecological Association 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The International Urogynecological Association.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-f929b8a68b9ad8c97e01643c9c20e16f81b6b81c674c8e53aabd887c49978f83</citedby><cites>FETCH-LOGICAL-c375t-f929b8a68b9ad8c97e01643c9c20e16f81b6b81c674c8e53aabd887c49978f83</cites><orcidid>0000-0001-7090-6105</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36625926$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ketenci Gencer, Fatma</creatorcontrib><creatorcontrib>Salman, Suleyman</creatorcontrib><creatorcontrib>Kumbasar, Serkan</creatorcontrib><creatorcontrib>Bacak, Havva Betul</creatorcontrib><creatorcontrib>Khatib, Ozlem</creatorcontrib><creatorcontrib>Kaya, Cihan</creatorcontrib><creatorcontrib>Yildiz, Elif</creatorcontrib><creatorcontrib>Coskun, Enes Serhat</creatorcontrib><title>Lateral suspension with V-NOTES for the treatment of pelvic organ prolapse with the Salman–Ketenci Gencer technique</title><title>International Urogynecology Journal</title><addtitle>Int Urogynecol J</addtitle><addtitle>Int Urogynecol J</addtitle><description>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.</description><subject>Gynecology</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Pelvic organ prolapse</subject><subject>Surgical mesh</subject><subject>Urology</subject><subject>Vagina</subject><issn>0937-3462</issn><issn>1433-3023</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kcFu1DAQhi0EokvhBTggS1y4hI7txLGPqCoFsWoPXXG1HO-kmypxgu10xY134AV4Fh6FJ8HbtCBxYKTRWPL3_zPST8hLBm8ZQH0SAZjmBfDcVSlEsX9EVuzwEMDFY7ICLepClJIfkWcx3gBACRU8JUdCSl5pLlfkdm0TBtvTOMcJfexGT_dd2tHPxcXl5uyKtmOgaYc0BbRpQJ_o2NIJ-9vO0TFcW0-nMPZ2irjoDuyV7Qfrf337_gkTetf9_HGeB2YjdDvffZnxOXnS2j7ii_t5TDbvzzanH4r15fnH03frwom6SkWruW6UlarRdqucrhGYLIXTjgMy2SrWyEYxJ-vSKayEtc1WqdqVWteqVeKYvFls8415a0xm6KLDvrcexzkaXkuRC4TO6Ot_0JtxDj4fZ7jiquJSVyxTfKFcGGMM2JopdIMNXw0DcwjFLKGYHIq5C8Xss-jVvfXcDLj9I3lIIQNiAWL-8tcY_u7-j-1vSaqaKQ</recordid><startdate>20230701</startdate><enddate>20230701</enddate><creator>Ketenci Gencer, Fatma</creator><creator>Salman, Suleyman</creator><creator>Kumbasar, Serkan</creator><creator>Bacak, Havva Betul</creator><creator>Khatib, Ozlem</creator><creator>Kaya, Cihan</creator><creator>Yildiz, Elif</creator><creator>Coskun, Enes Serhat</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7090-6105</orcidid></search><sort><creationdate>20230701</creationdate><title>Lateral suspension with V-NOTES for the treatment of pelvic organ prolapse with the Salman–Ketenci Gencer technique</title><author>Ketenci Gencer, Fatma ; Salman, Suleyman ; Kumbasar, Serkan ; Bacak, Havva Betul ; Khatib, Ozlem ; Kaya, Cihan ; Yildiz, Elif ; Coskun, Enes Serhat</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-f929b8a68b9ad8c97e01643c9c20e16f81b6b81c674c8e53aabd887c49978f83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Gynecology</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Pelvic organ prolapse</topic><topic>Surgical mesh</topic><topic>Urology</topic><topic>Vagina</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ketenci Gencer, Fatma</creatorcontrib><creatorcontrib>Salman, Suleyman</creatorcontrib><creatorcontrib>Kumbasar, Serkan</creatorcontrib><creatorcontrib>Bacak, Havva Betul</creatorcontrib><creatorcontrib>Khatib, Ozlem</creatorcontrib><creatorcontrib>Kaya, Cihan</creatorcontrib><creatorcontrib>Yildiz, Elif</creatorcontrib><creatorcontrib>Coskun, Enes Serhat</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>International Urogynecology Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ketenci Gencer, Fatma</au><au>Salman, Suleyman</au><au>Kumbasar, Serkan</au><au>Bacak, Havva Betul</au><au>Khatib, Ozlem</au><au>Kaya, Cihan</au><au>Yildiz, Elif</au><au>Coskun, Enes Serhat</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lateral suspension with V-NOTES for the treatment of pelvic organ prolapse with the Salman–Ketenci Gencer technique</atitle><jtitle>International Urogynecology Journal</jtitle><stitle>Int Urogynecol J</stitle><addtitle>Int Urogynecol J</addtitle><date>2023-07-01</date><risdate>2023</risdate><volume>34</volume><issue>7</issue><spage>1583</spage><epage>1591</epage><pages>1583-1591</pages><issn>0937-3462</issn><eissn>1433-3023</eissn><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.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>36625926</pmid><doi>10.1007/s00192-022-05433-w</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-7090-6105</orcidid></addata></record> |
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| subjects | Gynecology Medicine Medicine & Public Health Original Article Pelvic organ prolapse Surgical mesh Urology Vagina |
| title | Lateral suspension with V-NOTES for the treatment of pelvic organ prolapse with the Salman–Ketenci Gencer technique |
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