Abdominal sacrohysteropexy in young women with uterovaginal prolapse: results of 20 cases.
OBJECTIVE
To report the results of abdominal sacrohysteropexy with polypropylene mesh in young women who wish to retain their uteri following uterovaginal prolapse.


METHODS
Twenty young women underwent abdominal sacrohysteropexy and concomitant reconstructive surgery. The preoperative and postoperative protocols included a urogynecologic history, physical examination, voiding diary, 1-hour pad test, cough stress test, multichannel urodynamic studies and administration of a validated, prolapse-specific symptom inventory and quality of life instrument.


RESULTS
Of the 20 patients with marked uterovaginal prolapse, 13 had urodynamic stress incontinence. Anterior and posterior vaginal wall prolapse and urodynamic stress incontinence recurred in 1 of 20 patients (5%) at a mean follow-up of 25 months. Nineteen patients stated that their sex life had improved, although 3 of them had dyspareunia. One patient was dissatisfied owing to persistent dyspareunia. The postoperative values on the symptom inventory and quality of life scores were significantly lower than the preoperative values. The low scores suggest satisfaction and no symptoms of prolapse.


CONCLUSIONS
Abdominal sacrohysteropexy is effective and safe in the treatment of uterovaginal prolapse in women who wish to retain their uteri. It maintains a durable anatomic restoration, normal vaginal axis and sexual function. The success rate is excellent for correcting prolapse, and the complications are minimal.
Demirci
Fuat
F
Department of Obstetrics and Gynecology, Duzce School of Medicine, Abant Izzet Baysal University, Duzce, Turkey. fuatdemirci@superonline.com
Ozdemir
Ismail
I
Somunkiran
Asli
A
Doyran
Gonul Duras
GD
Alhan
Ali
A
Gul
Baris
B
D000328:Adult; D000367:Age Factors; D005260:Female; D005298:Fertility; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D007902:Length of Stay; D011788:Quality of Life; D013526:Surgical Mesh / Q000009:adverse effects; D014550:Urinary Incontinence, Stress / Q000601:surgery; D014596:Uterine Prolapse / Q000601:surgery*; D014599:Uterus / Q000601:surgery*