Application of non-absorbable suture anchors in trans-obturator Timesh-ligature correction of grade 2 anterior vaginal wall prolapse
Authors:   I.M.Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation, Ishchenko A.I. , Ishchenko A.A. ,   Treatment and Rehabilitation Center, Moscow, Russian Federation, Khokhlova I.D. ,   I.M.Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation, Dzhibladze T.A. ,   I.M.Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation, Gorbenko O.Yu. ,   I.M.Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation, Malyuta E.G. ,   Treatment and Rehabilitation Center, Moscow, Russian Federation, Chushkov Yu.V. ,   I.M.Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation, Gadaeva I.V. ,   I.M.Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation, Zuev V.M. ,   I.M.Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation, Komarova A.D. ,   I.M.Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation, Balyasin M.V. ,   Patrice Lumumba Peoples’ Friendship University of Russia (RUDN), Moscow, Russian Federation, Savchenkova A.P. ,   I.M.Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation, Teryoshina Ya.A. ,   I.M.Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation, Chulkova E.F. ,   I.M.Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation
Published: January 2025

Objective. To study the efficacy and safety of the original surgical technique for the correction of grade 2 anterior vaginal wall prolapse using a combination of titanium mesh implants and non-absorbable anchor ligatures in reproductive-aged patients.
Patients and methods. The results of examination and treatment of 12 reproductive-aged patients (35–43 years old) with grade 2 anterior vaginal wall prolapse, operated according to the original technique using a combination of titanium mesh implants and non-absorbable anchor ligatures, were analyzed.
Results. Patients were followed up at 1, 3, 6, 12 months after surgery. Comparison of patient questionnaires in the pre- and postoperative periods showed improvement of quality of life and satisfaction with the results of surgical intervention. During the
first month, 4 out of 12 patients reported mild cramping pain in the lower abdomen, 3 patients – frequent urination. Comprehensive clinical examination after 3, 6, 12 months revealed complete preservation of the results of surgical correction of anterior prolapse in all patients. Gynecological examination, transperineal and transvaginal ultrasound showed no displacement of pelvic organs and titanium implants. There were no Mesh-associated complications during the follow-up period.
Conclusion. The efficacy and safety of the developed surgical technique for the correction of grade 2 anterior vaginal wall prolapse using a combination of titanium mesh implants and non-absorbable anchor ligatures in reproductive-aged patients were demonstrated. However, a small patient cohort indicates the need to continue research in this direction.
Key words: grade 2 anterior vaginal wall prolapse, reproductive age, titanium mesh implants, non-absorbable anchor ligatures, trans-obturator Timesh-ligature correction