Vaginal approach to treat pelvic floor disoders

functional and anatomic aspects and surgical techniques

  • Leonel Briozzo Universidad de la República, Facultad de Medicina, Clínica Ginecotocológica A
  • Fernanda Nozar Universidad de la República, Facultad de Medicina, Clínica Ginecotocológica A
Keywords: PELVIC FLOOR, VAGINA, SURGICAL PROCEDURES

Abstract

Vaginal surgery and the different therapeutic techniques to treat pelvic floor disorders in the context of Gynecotocology in Uruguay have dramatically developed in the last 20 years.

The study aims to present the different diagnostic approaches, the principles and the surgical possibilities at the Pelvic Floor Pathology Department of Gynecotocology Clinic “A”, based on the comprehensive theory. It comprises a description of the evolution of the different surgical techniques implemented and developed in our country, as well as the anatomic and functional grounds that support them.

In order to come up with a conclusion on the analysis of this evolution it is of the essence to conceptualize that the functional and anatomic alterations of the female pelvic organs are all part of a whole, rather than the addition of different domains, cells or sectors.

In that sense, developing surgical strategies that are gradually less invasive and include specific-site correction seems to be the best the strategic perspective over stereotype corrections.

Abordagem vaginal para o tratamento das patologias do assoalho pélvico: aspectos anatomofuncionais e técnicas cirúrgicas.

References

(1) Balaguero Lladó L. Cirugía ginecológica transvaginal y laparoscópica: técnicas integradas. Barcelona: Mosby/Doyma, 1996.

(2) Wagenlehner FM, Bschleipfer T, Liedl B, Gunnemann A, Petros P, Weidner W. Surgical reconstruction of pelvic floor descent: anatomic and functional aspects. Urol Int 2010; 84:1-9.

(3) Papa Petros P. The female pelvic floor: function, dysfunction and management according to integral theory. 2nd ed. Berlín: Springer Verlag Heidelberg, 2007.

(4) Dargent D. L´histerectomie vaginal de l´uterus non prolabé. J Gynecol Obstet Biol Reprod (París) 1988; 17:257-61.

(5) Dargent D, Rudrigoz R. L´histerectomie vaginale. J Gynecol Obstet Biol Reprod (París) 1980; 9: 895-908.

(6) Sotero Salgueiro G, Sosa Fuertes C, Domínguez Rama Á, Martínez Torena J, Yovarone R, Laborde Badillo A. La histerectomía vaginal en útero no prolapsado: una vieja- "nueva" opción. Arch Gin Obstet 2002; 40(1):30-7.

(7) Briozzo L, Nozar M, Fiol V, Curbelo F. Eficacia y seguridad del sling transobturatriz de malla simple de polipropileno (TOT) en el tratamiento de la incontinencia urinaria de esfuerzo femenino. Rev Méd Urug 2009; 25(3):141-8.

(8) Briozzo L, Nozar M, Fiol V, Bottaro S, Gomez F. Efficacy and safety of transobturator polypropylene hernia mesh (TOT) for female urinary stress incontinence: mean and large follow-up (7years). Pelviperineology 2011; 30:104-6.

(9) Mellier G, Gertych W, Lamblin G, Chabert P, Mathevet P. Suspension du fond du vagin par bandelette trasnobturatrice posterieure. Gynecol Obstet Fertil 2007; 35:625-31.

(10) Nozar MF, Laufer J, Vargas D, Debat N, Bottaro S, Gómez F, et al. Vaginal vault suspension by posterior transobturator sling. Report the first cases performed in Uruguay. Int J Gynaecol Obstet 2012; 119: S439. doi: 10.1016/S0020-7292(12)60933-3.

(11) Briozzo L, Nozar F. Colposuspensión anterior con fijación a malla trasnobturatriz: una nueva técnica para el tratamiento del colpocele anterior. Rev Méd Urug 2015; 31(4):282-7.

(12) Maher CF, Cary MP, Slack CJ, Murray CJ, Milligan M, Schluter P. Uterine preservation or hysterectomy at sacrospinous colpopexy for uterovaginal prolapse? Int Urogynecol J Pelvic Floor Dysfunct 2001; 12:381-5.

(13) Dietz V, Schraffordt Koops S, van der Vaart CH. Vaginal surgery for uterine descent; which options do we have? A review of the literature. Int Urogynecol J Pelvic Floor Dysfunct 2009; 20:349-56.

(14) van Brummen HJ, van de Pol G, Aalders CI, Heintz AP, van der Vaart CH. Sacrospinous hysteropexy compared to vaginal hysterectomy as primary surgical treatment for a descensus uteri: effects on urinary symptoms. Int Urogynecol J Pelvic Floor Dysfunct 2003; 14:350-5.

Published
2019-05-07
How to Cite
1.
Briozzo L, Nozar F. Vaginal approach to treat pelvic floor disoders. Rev. Méd. Urug. [Internet]. 2019May7 [cited 2024Nov.25];34(2):104-10. Available from: http://www2.rmu.org.uy/ojsrmu311/index.php/rmu/article/view/52