Abstract
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.
Keywords: Urogynecology; Pelvic floor; Posterior intravaginal sling; Posterior patch
