PFD Week 2018-Concurrent Session #2: Surgical

Video Transcription

Video Summary

In this session, several studies were presented that focused on various surgical techniques for treating pelvic organ prolapse. The first study compared the outcomes of vaginal uterine sacral ligament hystereopexy to vaginal hysterectomy with uterine sacral ligament suspension. The results found similar rates of durability and recurrence for both procedures. The second study compared the outcomes of laparoscopic sacrohysteropexy to vaginal uterine sacral ligament hysteropexy. The study concluded that laparoscopic sacrohysteropexy was a safe and effective procedure. The third study evaluated the use of a virtual reality system to assist in teaching and understanding gross anatomy. The fourth study examined the use of a backfill-assisted voiding trial to assess voiding dysfunction after pelvic organ prolapse surgery. The study found that checking a post-void residual was not necessary in assessing voiding dysfunction. The fifth study looked at the distribution and variance of risk calculator scores for de novo urinary incontinence after prolapse surgery. The study found that the risk calculator scores did not vary considerably from traditional prediction and counseling methods. The sixth study compared complication rates between intraperitoneal and extraperitoneal vaginocopal plexi. The study found no significant difference in complication rates between the two approaches. The final study compared perioperative outcomes for combined ventral rectopexy with cigar copalphexi to perineal rectopexy with vaginal apical suspension. The study found that perioperative complications were approximately 10% with no significant difference between the two approaches.

Asset Subtitle

Lisa C. Hickman, MD, Katherine Armstrong, MD, Emily RW Davidson, MD, Shefali Sharma, MD, Marcella Willis-Gray, MD, Tania Sierra, MD, Jennifer Joy Hamner, DO, C Emi Bretschneider, MD, & Pamela E Smith, MD

Meta Tag

Category Pelvic Organ Prolapse

Category Anatomy

Category Education

Keywords

surgical techniques

pelvic organ prolapse

laparoscopic sacrohysteropexy

voiding dysfunction

risk calculator scores

virtual reality system

complication rates

perioperative outcomes