Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2026
Surgical treatment of apical prolapse Number 9 - 2026.
СтатьяОбзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Sartori Marair Gracio Ferreira, Brito Luiz Gustavo de Oliveira, Schreiner Lucas, do Rego Aljerry Dias, Picoloto Ana Selma Bertelli, Bilhar Andreisa Paiva Monteiro, Del Roy Carlos, Prado Daniela Siqueira, de Oliveira Emerson, Haddad Jorge Milhem, Nunes Jussara Maria Valentim Cavalcante, de Oliveira Leticia Maria, Monteiro Marilene Vale de Castro, Moroni Rafael Mendes, Martins Sergio Brazileiro
Аннотация
Apical genital prolapse represents a failure of DeLancey's level I support. Isolated vaginal hysterectomy does not correct apical prolapse. All surgery for uterine or vaginal vault prolapse should include apical suspension. Sacrocolpopexy is the most durable technique for correcting vaginal vault prolapse, with the exception of colpocleisis. Vaginal techniques remain valid options in selected patients. Uterine preservation, when based on shared decision-making, is possible and safe for carefully evaluated patients. Recognition of the apical component in advanced cystocele is essential to prevent recurrence. Correction of the genital hiatus reduces the risk of recurrence, regardless of the surgical approach. Intraoperative cystoscopy is mandatory in vaginal uterosacral suspensions. Concomitant correction of stress urinary incontinence should be considered when diagnosed clinically or functionally.