<- Home <- Arhive <- Vol. 8, Issue 2, May 2012



GINECOeu8(2)86-88(2012)
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Ifracoccigeal sacropexy and sacrospinous fixation in the treatment of masive enterocele and posterior fornix syndrome

D. Grigoras, L. Pirtea, M. Bacila, R. Ilina, P. Pirtea, A. M. Funogea


Abstract: Enterocele is a pelvic floor disorder that can lead to posterior fornix syndrome: urgency, frequency, nocturia, pelvic pain, difficulties in emptying the bladder. Infracoccigeal sacropexy is a minimally invasive procedure that offers support of the vaginal vault, and reattaches the vagina to the levatorial plate. Sacrospinous fixation is also a minimal invasive technique that ensures a very solid suspension of the vaginal vault. It is presented the case of a 61 years old woman with voluminous enterocele and posterior fornix syndrome. A bilateral sacrospinous fixation and an posterior vaginal slingplasty were performed; this combined technique was not described in literature before. The urinary diary is the best tool for the evaluation of the severity of the posterior fornix syndrome symptoms and was completed before and after surgery. Significant improvement after surgical treatment was observed.
Keywords: enterocele, posterior fornix syndrome, sacrospinous fixation, posterior intravaginal slingplasty

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