Laparoscopic retroperitoneal hysteropexy. A randomized trial

J Reprod Med. 1998 Apr;43(4):361-6.


Objective: To assess the clinical applicability, safety and initial efficacy of a new laparoscopic retroperitoneal hysteropexy technique.

Study design: A relatively homogeneous group of patients (N = 62) with symptomatic uterine retroflexion was randomly allocated to laparoscopic retroperitoneal uterine suspension (n = 32, group I) and diagnostic laparoscopy (n = 30, group II). Patients from both groups were followed for at least 24 months. The following clinical parameters were compared between groups I (treated) and II (untreated): deep dyspareunia, dysmenorrhea, sense of bladder pressure with frequent urination and sense of pressure in the rectum.

Results: Surgery was performed as an outpatient operation by the author. Intraoperative or postoperative complications were not observed in either group. A prospective, double-blind, controlled trial revealed that 87.5% of patients with symptomatic uterine retroflexion experienced relief from symptoms after the operation. Statistical analysis of the two groups documented that clinical symptoms improved (with P < .0001) in a statistically significant number of cases among patients subjected to hysteropexy.

Conclusion: Laparoscopic retroperitoneal uterine suspension benefitted patients and was safe.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Double-Blind Method
  • Female
  • Gynecologic Surgical Procedures / methods
  • Humans
  • Laparoscopy / methods*
  • Prospective Studies
  • Retroperitoneal Space
  • Treatment Outcome
  • Uterine Diseases / pathology
  • Uterine Diseases / surgery*
  • Uterus / surgery*