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Ginecología y obstetricia de México

versão impressa ISSN 0300-9041

Resumo

MACHADO BERNAL, Jaime Andrés; PINEDA MARRIAGA, José Ángel  e  GOMEZ CASTRO, Armando Rafael. Modified technique of anterior colporraphy due to absence of prevesical fascia: case report. Ginecol. obstet. Méx. [online]. 2023, vol.91, n.10, pp.762-767.  Epub 08-Mar-2024. ISSN 0300-9041.  https://doi.org/10.24245/gom.v91i10.8532.

BACKGROUND:

Pelvic organ prolapse is common in postmenopausal women. The definitive treatment when the anterior compartment is involved is surgical (anterior colporrhaphy). Here we describe the clinical results obtained using a modified anterior colporrhaphy technique in a patient with absence of prevesical fascia, POP-Q stage II, with involvement of the anterior compartment.

CLINICAL CASE:

64-year-old female patient with a history of a previous colporrhaphy at the age of 56, pelvic organ prolapse with involvement of the anterior compartment. Gynaecological examination revealed anterior compartment involvement, specifically level II according to the new POP-Q classification. Based on the surgical history, anterior colporrhaphy with polyglactin 910 suture and vaginal colpopexy with polypropylene sutures using a suture capture device for native tissue repair was chosen. Surgical outcome was satisfactory.

CONCLUSION:

In the context of colporrhaphy, it is important to take into account the different surgical strategies, increasingly less invasive, with site-specific corrections that allow repair of the anatomical defect, disappearance of symptoms, reducing the risk and probability of recurrence.

Palavras-chave : Pelvic organ prolapse; Postmenopausal women; Treatment; Fascia; Gynecological examination; Middle aged.

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