CERVICO–SACROPEXY AND VAGINO–SACROPEXY (CESA & VASA): A NEW PROCEDURES FOR PELVIC ORGAN PROLAPSE
Ashraf Nassif Mahmoud Elmantwe and Tamer Mahmoud Assar
Department Obstetrics and Gynecology, Faculty of Medicine Benha University
Objective: To access the safety and efficacy outcomes of a new abdominal cervico – sacropexy (CESA) and vagino – sacropexy with CESA and VASA DynaMesh kit in treatment of pelvic organ prolapse (POP).
Patients and Methods: Prospective clinical study enrolled 10 women with posthysterectomy apical prolapse in Benha University Hospital Obstetrics and Gynecology Department, 7 women with vault prolapse while the other 3 women with apical prolapse with cervical stump 7 women underwent VASA procedure while the other 3 underwent CESA procedure. ICS POP-Q staging as well as surgery related morbidity were evaluated.
Results: All women were followed up to 6 months postoperative. Significant postsurgical anatomical success were recorded across both POPQ anterior (point Aa, Ba) (P £0.001, P£ 0.0001) apical (point C, d) (P £ 0.0001, P £ 0.0001) and posterior (point Ap, Bp) (P £ 0.0003, P £ 0.0005) domains. No major complication were occurred. No mesh erosion were reported.
Conclusion: Cervico – sacropexy and vagino – sacropexy with CESA, VASA DynaMesh kit seems to be safe and effective option for women with advanced post hysterectomy apical prolapse.
Abbreviation: CESA: Cervico–sacropexy. VASA: Vagino-socropexy POP : Pelvic organ prolapse. ICS POP-Q: International incontinence society, pelvic organ prolapse quantification system.