Pirtea L, Grigoras D, Ilina R, Mueller-Funogea A
Chirurgia (Bucur). 2014 Jan-Feb;109(1):139-41.
The surgical treatment of complete genital prolapse must aim the restoration of the vaginal support structures. All 3 levels of the vaginal support system must be recreated. Ablation of the uterus is not useful for pelvic floor support. Sparing of the uterus offers the advantage of a reduced surgical trauma, and better pelvic floor restoration. We present the case of a 60-year old woman with complete genital prolapse where the uterus was spared, and sacrospinous fixation, anterior mesh repair,perineal body repair and suburethral sling insertion were performed. The results were very good, by means of pelvic floor statics and physiology of micturition.
genital prolapse must be cured by reconstruction of the vaginal support system, not by hysterectomy.
完全性生殖器脱垂的手术治疗必须旨在恢复阴道支持结构。阴道支持系统的所有三个层次都必须重建。子宫切除术对盆底支持没有作用。保留子宫具有减少手术创伤和更好地恢复盆底功能的优点。我们报告一例60岁完全性生殖器脱垂的女性病例，该患者保留了子宫，并进行了骶棘韧带固定术、前路网片修补术、会阴体修补术和尿道下吊带置入术。通过盆底静力学和排尿生理学评估，结果非常好。
生殖器脱垂必须通过重建阴道支持系统来治愈，而不是通过子宫切除术。
