Open AccessThe autologous rectus fascia sheath sacrocolpopexy and sacrohysteropexy, a mesh free alternative in patients with recurrent uterine and vault prolapse: A contemporary series and literature review
Author(s) -
Jai Seth,
Bogdan Toia,
Hazel Ecclestone,
Mahreen Pakzad,
Rizwan Hamid,
Tamsin Greenwell,
Jeremy Ockrim
Publication year - 2019
Publication title -
urology annals
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.355
H-Index - 20
eISSN - 0974-7834
pISSN - 0974-7796
DOI - 10.4103/ua.ua_85_18
Subject(s) - medicine , surgery , vaginal vault prolapse , vaginal vault , fascia , rectus sheath , cervix , surgical mesh , vagina , hernia , cancer , abdominal wall
About 40% of women suffer pelvic organ prolapse (POP) in a lifetime. The current standard intervention for vault prolapse is a mesh sacrocolpopexy or sacrohysteropexy. However, patients and surgeons are increasingly hesitant to use mesh given recent the UK and Food and Drug Administration warnings and litigation. A possible alternative is to use autologous tissue to support the vault, as a mesh-free solution. We report the outcomes from an initial series of autologous rectus fascia sheath (RFS) sacrocolpopexy and sacrohysteropexy in patients with complex pelvic floor dysfunction.