The Elevation angle of the vagina (EAV) following different pelvic reconstructive procedures

Neymeyer J1, Weintraub A2, Weinberger S1, Moldovan D E1, Kornienko K1, Schlomm T1

Research Type

Clinical

Abstract Category

Female Lower Urinary Tract Symptoms (LUTS) / Voiding Dysfunction

Abstract 347
Open Discussion ePosters
Scientific Open Discussion Session 21
Thursday 30th August 2018
13:50 - 13:55 (ePoster Station 3)
Exhibition Hall
Bladder Outlet Obstruction Mixed Urinary Incontinence Pelvic Organ Prolapse Stress Urinary Incontinence Pelvic Floor
1. Medical University Charité, Department of Urology, 2. Department of Obstetrics and Gynecology, Soroka University Medical Center, Faculty of Health Sciences. Ben-Gurion University of the Negev Country
Presenter
J

Jörg Neymeyer
Medical University Charité, Department of Urology
Links

Poster

Abstract

Hypothesis / aims of study 
To compare the anatomical elevation angle of the vagina (EAV) following four different pelvic floor reconstructive procedures.
Study design, materials and methods 
A postoperative MRI was performed following four different pelvic reconstructive procedures: classical sacrospineous fixation, high medial sacrospineous fixation, laparoscopic sacrocolpopexy and triple fixation sacropectopexy. Postoperative MRI of 30 patients from each of the four procedures were evaluated and the vaginal angle from the pelvic diagonal conjugate was measured. A lower EAV is represented by larger angle from the pelvic diagonal conjugate.
Results 
The classical sacrospineous fixation had the lowest EAV, followed by high medial sacrospineous fixation, laparoscopic sacrocolpopexy and triple fixation sacropectopexy respectively.
Interpretation of results 
The elevation angle of vagina shows that vaginal and laparoscopic/abdominal treatments can not be compared more.
Concluding message 
We were able to objectively demonstrate that different pelvic floor reconstructive procedures result in different EAV. This information may be significant for properly tailoring the type of procedure for each patient.
Figure 1
Disclosures
Funding Non Clinical Trial Yes Public Registry No RCT Yes Subjects Human Ethics Committee Charité Medical University Helsinki Yes Informed Consent Yes
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