PFD Week 2016-Pelvic Floor Surgery Following Kidney Transplantation: Technique and Comment

Pelvic Floor Surgery Following Kidney Transplantation: Technique and Comment

Video Transcription

Video Summary

In this video, a 71-year-old woman with stage 3 uterovaginal prolapse undergoes a hysterectomy and mesh sacrocopalpexy after years of failed conservative therapy. The woman has a history of previous kidney transplantation, which is not a contraindication for pelvic organ prolapse surgery. The gynecologic surgeon must review the operative reports from the transplant surgery and plan the incisions and port placements carefully to avoid injuring the renal graft and its blood supply. The video demonstrates the laparoscopic procedure, including port placement, dissection, suturing, and the use of mesh for support. Postoperative considerations include avoiding NSAIDs and continuing anti-rejection drugs. For more information, visit www.FEMA.gov.

Asset Subtitle

Julie Braga, MD

Keywords

71-year-old woman

stage 3 uterovaginal prolapse

hysterectomy

mesh sacrocopalpexy

laparoscopic procedure