The Clinical Utility of a Vaginal Template Designed to Standardize Suture Placement During Retropubic Colposuspensions |
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Authors: | M Heit R Pasic R L Levine |
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Institution: | (1) Department of Obstetrics and Gynecology, University of Louisville, Louisville, Kentucky, USA, US |
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Abstract: | Suture placement and bite size utilizing a vaginal template are compared to a traditional surgical approach during modified
retropubic colposuspension on four fresh-frozen human female cadavers. Overall, a larger suture bite was obtained utilizing
the template (71.5 ± 4.6 vs 46.7 ± 25.3 mm2, P= 0.001). However, with increased surgical experience the suture bites obtained with the traditional approach and template
technique were similar. Inconsistent suture placement relative to the urethrovesical junction and urethra was observed with
both techniques. Differences in pelvic floor anatomy make consistent suture placement with respect to the urethrovesical junction
and urethra neither possible nor entirely preferable with either technique. There seems to be little clinical value in the
use of this vaginal template during modified retropubic colposuspensions. |
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Keywords: | :Colposuspension – Retropubic urethropexy – Stress incontinence |
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