Interest of retro-anal levator plate myorrhaphy in selected cases of descending perineum syndrome with positive anti-sagging test
2008

Surgery for Descending Perineum Syndrome

Sample size: 9 publication Evidence: moderate

Author Information

Author(s): Beco Jacques

Primary Institution: University of Liège, Department of Gynaecology

Hypothesis

Can retro-anal levator plate myorrhaphy improve symptoms in patients with descending perineum syndrome?

Conclusion

The surgical procedure appears to improve various symptoms associated with levator plate sagging.

Supporting Evidence

  • 2 out of 2 cases of stress urinary incontinence improved after surgery.
  • 3 out of 5 cases of urinary urgency improved.
  • 6 out of 7 cases of perineodynia improved.
  • Rectal examination showed complete suppression of sagging in 4 patients.

Takeaway

Doctors can help women with a condition called descending perineum syndrome by doing a special surgery that makes them feel better.

Methodology

A retrospective case series of nine female patients underwent retro-anal levator plate myorrhaphy to treat symptomatic levator plate sagging.

Potential Biases

Potential bias due to the retrospective nature of the study and lack of a control group.

Limitations

The study is limited by its small sample size and retrospective design.

Participant Demographics

Nine female patients with a mean age of 44.3 years.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2482-8-13

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