BACKGROUND: This article introduces a novel technique for the abdominal suspension of the prolapsed vagina. A Gore-Tex (WL Gore _ Associates, Flagstaff, AZ) graft interposition between the vaginal apex and the right psoas muscle is performed under direct visualization to effect the repair. STUDY DESIGN: Between June 1998 and June 2001, seven consecutive cases of @entity3134 were repaired abdominally using the vaginal-psoas technique as outlined here. @entity1 were followed postoperatively for recurrent prolapse, @entity322 , and the development of new or progressive pelvic support defects. RESULTS: The mean operative time was 134 minutes, and the mean @entity190 was 160mL for all procedures. One @entity1 was lost to followup after 2 months. The remaining six @entity1 have a median followup of 22 months (range 4 to 36 months), and in these @entity1 , there have been no instances of recurrent @entity1973 . One @entity1 developed a progression of her rectocele. There were no peroperative or postoperative complications directly related to the procedure. Specifically, there were no instances of @entity548 , transfusion, @entity16 . CONCLUSIONS: The vaginal-psoas colposuspension appears to be a simple, efficacious technique for the repair of @entity3134 . No significant morbidity directly related to the procedure has occurred to date. Further studies with longer followup will be required in the future before definitive conclusions can be reached.

The vaginal-psoas suspension repair of XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity322 :: ('MESH:D014549', 'Disease') :: ['urinary incontinence'] @entity548 :: ('MESH:D006470', 'Disease') :: ['hemorrhage'] @entity190 :: ('MESH:D006473', 'Disease') :: ['blood loss'] @entity16 :: ('MESH:D009422', 'Disease') :: ['small bowel obstruction, graft erosion, or genitofemoral neuropathy'] @entity3134 :: ('MESH:D011391', 'Disease') :: ['uterovaginal prolapse'] @entity1973 :: ('MESH:D001750', 'Disease') :: ['prolapse or urinary dysfunction']
@entity3134 :: (MESH:D011391,Disease) :: ['uterovaginal prolapse']
