Re: Sacrocolpopexy

From: ENDODOK@aol.com
Mon Apr 5 18:35:47 2004


If she has such prolapse, she probably has a cystocele and rectocele as well. From your notes at this point I guess she does not have demonstrable SUI. Only if she does, would I perform a TVT pubourethral suspension, at time of vag hyst, and either McCall culdoplasty or sacrospinous suspension for vault support, with AP repair if indicated. Would be leary of gortex as a mesh as it has a higher rate of erosion in vaginal repairative surgery.

J.Glenn Bradley MD





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