Abdominal hysterectomy and Burch colposuspension for uterovaginal prolapse.
The recurrence rate for prolapse in patients who underwent abdominal hysterectomy and sacrocolposuspension for genital prolapse were determined. Patient records were reviewed and 58 patients who had undergone abdominal hysterectomy for genital prolapse and sacrocolposuspension with mesh were included. The patients' median age was 47.0 years and parity 3. Preoperatively, 25 patients (43%) presented with bladder symptoms, 17 (29%) with bowel symptoms and 45 (78%) with something protruding through the vagina. All patients underwent hysterectomy, of which 51 (88%) were subtotal. Colposuspension was performed by inserting a mesh from the mid-vagina to the sacrum (S1). A Burch colposuspension was performed in 50 patients (87%). The median follow-up was 20 months. Six patients (10%) developed recurrent prolapse, of which five (9%) underwent repeat surgery. There were no mesh erosions. The recurrence rate for prolapse was low, indicating that abdominal hysterectomy with sacrocolposuspension is an excellent option for uterovaginal prolapse.
Cronjé
H S
HS
Department of Obstetrics and Gynecology, University of the Free State, PO Box 339, 9300 Bloemfontein, South Africa. gnoghsc.md@mail.uovs.ac.za
de Beer
J A A
JA
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D008875:Middle Aged; D011446:Prospective Studies; D012008:Recurrence; D018570:Risk Assessment; D012720:Severity of Illness Index; D013526:Surgical Mesh; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000175:diagnosis / Q000601:surgery*