Laparoscopic uterosacral uterine suspension: a minimally invasive technique for treating pelvic organ prolapse.
OBJECTIVE
To assess the surgical outcomes of laparoscopic uterosacral uterine suspension and describe the surgical technique.


METHODS
Retrospective chart review (Canadian Task Force classification II-3).


METHODS
University tertiary medical center.


METHODS
Twenty-three patients with symptomatic uterine prolapse and desire for uterine preservation who underwent surgical repair.


METHODS
Laparoscopic uterine uterosacral uterine suspension.


METHODS
Preoperative and postoperative evaluations were completed. The stage of pelvic organ prolapse was assessed using the ICS pelvic organ prolapse quantification (POP-Q) examination. Descriptive statistics and paired t testing were used for statistical analysis.


RESULTS
Nineteen of 23 patients (82.6%) had preoperative prolapse stage 2 or greater. Nine patients (40.9%) had uterine prolapse beyond the hymen. After operation there were significant improvements in the stage of prolapse (2 vs 0, p<.01). The POP-Q scores for point C and D were significantly further away from the hymen after operation than compared with the preoperative values (-0.6 vs -7.8, and -5.0 vs -8.6; p<.01) respectively. There were no intraoperative complications. The estimated blood loss (mean+/-SD) was 111.5+/-139.4 mL. The hospital stay (mean+/-SD) was 2.2+/-1.7 days. None of the patients had symptomatic prolapse during the mean follow-up of 15.9 months.


CONCLUSIONS
Laparoscopic uterine suspension appears to be a safe and effective treatment option for uterine prolapse in patients who desire uterine preservation.
Medina
Carlos
C
Department of Obstetrics, University of Miami, Miller School of Medicine, Miami, Florida 33010, USA.
Takacs
Peter
P
D000290:Adnexa Uteri / Q000601:surgery*; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D012189:Retrospective Studies; D012720:Severity of Illness Index; D013536:Suture Techniques; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000601:surgery*