Vaginal sacrospinous colpopexy and perineorrhaphy for XXXX : preliminary report.

@entity1 @entity3577 @entity190 @entity322
OBJECTIVE: To review our experience with vaginal sacrospinous colpopexy combined with perineorraphy performed for @entity1 with @entity3577 who concomitantly suffered from @entity322 ( @entity322 ). SETTING: Gynaecology Department, Benenden Hospital, Benenden, Kent, UK. SUBJECTS AND METHODS: Between January 1997 and December 2001, 16 @entity1 presented with symptoms of @entity3577 and @entity322 . Eleven out of the 16 @entity1 (69%) had anorectal physiological tests and endoanal ultrasound performed before surgery. All @entity1 had sacrospinous colpopexy and perineorraphy. Simultaneous vaginal hysterectomy was performed in two @entity1 and anterior colporrhaphy in six @entity1 . RESULTS: The mean age was 60 years and median parity was 2. The mean operative time was 62 min (range 35-100) and the mean @entity190 was 60 ml (range 30-160). The mean follow-up period was 37 months (6-65). Thirteen @entity1 (81%) reported no @entity322 after surgery, and two @entity1 (12.5%) reported improvement. One @entity1 (6.5%) had no improvement in her symptom of @entity322 after surgery. None of the @entity1 had recurrence of @entity3577 during follow up. CONCLUSION: Sacrospinous colpopexy combined with perineorraphy can help to cure symptoms of @entity322 associated with @entity3577 . The possible mechanisms for such a favourable result are discussed.
