Uterus Preserving Prolapse Repair: How Long does it Last?

Urol Int. 2019;102(3):319-325. doi: 10.1159/000496346. Epub 2019 Jan 23.

Abstract

Background: The preservation of the uterus has an important role in the pelvic organ prolapse (POP) surgery.

Objectives: The aim of this study is to assess the long-term anatomical and functional outcomes of abdominal hysterosacropexy.

Methods: Prospective study. A series of women who underwent open abdominal hysterosacropexy for high-stage POP with a minimum 75-month follow-up were included.

Results: Data on 51 patients were included. Median follow-up was 136.7 months (range 75.8-258 months). Apical prolapse cure rate was 100%. The success rate for anterior and posterior vaginal compartment was 96 and 94% respectively. Urinary and sexual symptoms significantly improved. Ninety-two percentage of the women were "extremely" or "very much improved" with the operation.

Conclusion: This study confirms that abdominal hysterosacropexy is a good surgical option with durable results for the management of POP in women who wish to preserve their uterus.

Keywords: Abdominal hysterosacropexy; Anatomic outcomes; Functional outcomes; Long term; Pelvic organ prolapse.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Female
  • Follow-Up Studies
  • Gynecologic Surgical Procedures*
  • Humans
  • Middle Aged
  • Organ Sparing Treatments*
  • Pelvic Organ Prolapse / surgery*
  • Postoperative Period
  • Preoperative Period
  • Prospective Studies
  • Uterine Prolapse / surgery*
  • Uterus / surgery*
  • Vagina / surgery
  • Young Adult