Combined laparoscopic uterosacral and round ligament procedures for treatment of symptomatic uterine retroversion and mild uterine decensus.
OBJECTIVE
To evaluate the efficacy of a new modified technique to treat a symptomatic retrodisplaced uterus.


METHODS
Prospective clinical study (Canadian Task Force classification II-2).


METHODS
Tertiary care university hospital.


METHODS
Thirty-one women with symptomatic uterine retrodisplacement but without significant pelvic pathology.


METHODS
Laparoscopic shortening and plication of uterosacral ligaments with modified Gilliam suspension.


RESULTS
In average follow-up of 3.3 +/-1.0 years, all patients had an anteverted, anteflexed uterus. Mean +/- SD operating time was 24.1 +/- 4.7 minutes. There were no complications during or after surgery. Dyspareunia scores before and after surgery were 5.4 +/- 1.4 and 0.5 +/- 0.7, respectively (p <0.001). Chronic pelvic pain was satisfactorily relieved in seven of nine women. Vagina lengths before and after surgery were 5.9 +/- 0.7 and 7.0 +/- 0.3 cm, respectively (p <0.001).


CONCLUSIONS
Our technique achieved long-lasting good results in suspending uteri in anteverted, anteflexed position and relieved symptoms caused by retrodisplacement.
Yen
Chih-Feng
CF
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, 5, Fu-Hsing Street. Kwei-Shan, Tao-Yuan, 333, Taiwan.
Wang
Chin-Jung
CJ
Lin
Shu-Ling
SL
Lee
Chyi-Long
CL
Soong
Yung-Kuei
YK
D000328:Adult; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008022:Ligaments / Q000601:surgery*; D012404:Round Ligament of Uterus / Q000601:surgery*; D014591:Uterine Diseases / Q000601:surgery*