ABSTRACT

A series of patients who underwent a posterior IVS (PIVS) procedure between 1998 and 2003 using either a nylon or multifilament polypropylene sling were reviewed in 2006. Analysis of the outcomes of these patients, in some cases up to seven years after surgery has led to a reassessment of this procedure. The PIVS is an effective posterior vaginal wall fascial support procedure (De Lancey Level 2) but is less effective as an apical support, and is completely ineffective in preventing cystocoele.