Abdominal sacrohysteropexy for uterovaginal prolapse: a prospective study on 33 cases.
OBJECTIVE
To evaluate the results of abdominal sacrohysteropexy using polypropylene mesh in women with uterovaginal prolapse, wishing to preserve their uteri.


METHODS
Prospective observational study.


METHODS
Tertiary referral Gynecology centre.


METHODS
Thirty-three women with symptomatic uterovaginal prolapse operated on by the same surgeon.


METHODS
Sacrohysteropexy performed using polypropylene mesh extending between the back of the uterus at the uterosacral ligaments and the sacrum.


METHODS
Subjective and objective relief of uterine prolapse and operative and post-operative complications.


RESULTS
The mean age of the women was 46 years (range 29-65). All were multiparous with mean weight of 83.3 kg (70-96). Pelvic organ prolapse (POP-Q) stage 2 was found in 27 cases (81.8%) and stage 3 in six women (12.2%). Mean operative time was 45.76 min (30-75), and mean hospital stay was 2.45 days. One case suffered rectal injury, one case had median sacral vein injury, both were repaired immediately. Two cases had delayed voiding recovery. The mean follow up time was 6 months. At follow up, only two cases showed recurrence, and the objective and subjective success rates at 6 months were 93.93 and 81.8%, respectively.


CONCLUSIONS
Abdominal sacrohysteropexy is a safe, efficient surgical technique for treatment of uterine prolapse in women who desire to preserve the uterus. This procedure has a high success rate and is an easy technique with short learning curve.
Moiety
Fady M Shawky
FM
Department of Obstetrics and Gynecology, Royal Free Hospital, London, UK. fmoiety@gmail.com
Hegab
Hassan Mansour
HM
Ghanem
Ibrahim Abdel Latif
IA
Zedan
Walaa Mohamed
WM
Salem
Hesham Abdel Fattah
HA
D000328:Adult; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D011247:Pregnancy; D011446:Prospective Studies; D013526:Surgical Mesh; D014596:Uterine Prolapse / Q000601:surgery*