pelviperineology. 2016; 35(2): 37-39 | DOI:

Surgical management of posterior compartment defect in patients with pelvic floor dysfunction

TRAIAN ENACHE¹, ANDREEA ENACHE¹, MARCEL MOISA¹, MIHAI IONICA^2
1Clinical Hospital of Obstetrics and Gynecology “Prof. Dr. Panait Sirbu”, Bucharest, Romania, Obstetrics and Gynecology, ²Clinical Emergency Hospital, Bucharest, Toxicology

OBJECTIVE: :To find and assess a new surgical way of correcting posterior compartment defects according to the Integral System.
Method: :We performed a prospective study involving 82 patients with posterior compartment defects. We compared the results of 2 surgical methods: posterior intravaginal sling with sacrospinous fixation (PIVSSF) vs. posterior “patch” with sacrospinous fixation (PPSF). The research took place in The Clinical Hospital of Obstetrics and Gynaecology, Bucharest, Romania.
Results: :All patients who presented frequency and urgency improved their symptoms in both study groups. In all groups, there was a statistically significant reduction of pelvic pains and sacral pains. In those patients operated with PPSF, we found a significant improvement of haemorrhoids and urinary dysfunction compared with those operated with PPSF, with p < 0,03.
Conclusion: :PPSF might be an alternative method to solve posterior compartment defects, with fewer complications.

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Cite This Article

ENACHE T, ENACHE A, MOISA M, IONICA M. Surgical management of posterior compartment defect in patients with pelvic floor dysfunction. 2016; 35(2): 37-39

Corresponding Author: ENACHE T.

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