Deffieux Xavier, Desseaux Krystel, de Tayrac Renaud, Faivre Erika, Frydman René, Fernandez Hervé
Université Paris-Sud, Unité mixte de recherche (UMR) S0782, Clamart, France.
Int J Gynaecol Obstet. 2009 Jan;104(1):56-9. doi: 10.1016/j.ijgo.2008.08.013. Epub 2008 Oct 15.
To report on the efficacy and safety of infracoccygeal sacropexy for the treatment of uterovaginal prolapse.
A retrospective analysis of 87 women who underwent an infracoccygeal sacropexy procedure, 53 receiving a multifilament and 34 receiving a monofilament tape.
The mean follow-up was 27 months. Postoperative perineal pain was reported by 7 women (10%), and dyschesia and dyspareunia were observed de novo in 4 (5%) and 5 women (6%), respectively. There were 5 cases (9%) of vaginal extrusion and 9 cases (18%) of prolapse recurrence in the multifilament tape group, and in the monofilament tape group there were no cases of vaginal extrusion and 4 cases (14%) of prolapse recurrence (P=0.79 for prolapse recurrence). The recurrence-free survival curves of the 2 groups were similar. Univariate analysis revealed no independent factors of recurrence.
Although infracoccygeal sacropexy was found to be associated with few prolapse recurrences, complications were not rare.
