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      Laparoscopic posterior vaginal plication plus sacral colpopexy for severe posterior vaginal prolapse: A randomized clinical trial

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          Abstract

          A randomized clinical trial proposing a new laparoscopic prosthetic and fascial approach to severe posterior vaginal prolapse. The primary endpoint was to evaluate the objective and subjective outcomes of our laparoscopic posterior plication (LPP) combined to "two-mesh" sacral colpopexy (laparoscopic sacral colpopexy [LSC]) in severe posterior vaginal prolapse, with a 1-year follow-up. The secondary endpoint was to evaluate the safety of this surgical procedure.

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          Most cited references19

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          Classification of Surgical Complications

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            The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction.

            This article presents a standard system of terminology recently approved by the International Continence Society, the American Urogynecologic Society, and the Society of Gynecologic Surgeons for the description of female pelvic organ prolapse and pelvic floor dysfunction. An objective site-specific system for describing, quantitating, and staging pelvic support in women is included. It has been developed to enhance both clinical and academic communication regarding individual patients and populations of patients. Clinicians and researchers caring for women with pelvic organ prolapse and pelvic floor dysfunction are encouraged to learn and use the system.
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              Surgical management of pelvic organ prolapse in women.

              Pelvic organ prolapse may occur in up to 50% of parous women. A variety of urinary, bowel and sexual symptoms may be associated with the prolapse.
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                Author and article information

                Contributors
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                Journal
                Neurourology and Urodynamics
                Neurourology and Urodynamics
                Wiley
                0733-2467
                1520-6777
                January 2023
                September 22 2022
                January 2023
                : 42
                : 1
                : 98-105
                Affiliations
                [1 ]Department of Gynaecology and Obstetrics, Panico Pelvic Floor Center Pia Fondazione “Card. G. Panico” Tricase Lecce Italy
                [2 ]Department of Gynaecology and Obstetrics Università degli Studi di Messina Messina Italy
                [3 ]Department of Gynaecology and Obstetrics, Fondazione Policlinico Universitario “A. Gemelli” Università Cattolica del Sacro Cuore Roma Italy
                [4 ]Department of Surgery‐Week Surgery University “Campus Biomedico” Roma Italy
                [5 ]Department of Gynaecology and Obstetrics “Veris Delli Ponti Hospital” Scorrano Lecce Italy
                [6 ]Department of Urology Università “La Sapienza”, ICOT‐Latina Latina Italy
                Article
                10.1002/nau.25052
                36135387
                cac11167-136d-4b1f-b40a-be9d3ea37223
                © 2023

                http://onlinelibrary.wiley.com/termsAndConditions#vor

                http://doi.wiley.com/10.1002/tdm_license_1.1

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