Abstract
This study aims to describe and review a new method of uterine conservation in pelvic reconstruction for women with uterine prolapse. This is a prospective study of women who have undergone laparoscopic sacral suture hysteropexy. Structured questions, visual analogue patient satisfaction score (VAS), and vaginal examination were undertaken. Follow-up was performed by non-surgical reviewers. From July 2001 until August 2003, a total of 81 women underwent laparoscopic sacral suture hysteropexy for uterine prolapse. At a mean of 20.3 months follow-up, 76 women (93.8%) were available for questioning and 57 (70.3%) attended for examination. Sixty-five women (87.8%) had no symptoms of pelvic floor prolapse, 54 women (94.7%) had no objective evidence of uterine prolapse, and 61 women (82.4%) were satisfied with their surgery (VAS≥80%). Laparoscopic sacral suture hysteropexy attaches the posterior cervix to the sacral promontory via the right uterosacral ligament. Follow-up data of laparoscopic sacral suture hysteropexy indicate it to be an effective method in the management of uterine prolapse.
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The authors are grateful to Bill Reid, ERC, Royal Children's Hospital, Melbourne, for the illustrations.
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Krause, H.G., Goh, J.T.W., Sloane, K. et al. Laparoscopic sacral suture hysteropexy for uterine prolapse. Int Urogynecol J 17, 378–381 (2006). https://doi.org/10.1007/s00192-005-0019-0
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DOI: https://doi.org/10.1007/s00192-005-0019-0