Long-term results of laparoscopic colposuspension with bilateral round-infundibulopelvic ligaments after hysterectomy for uterovaginal prolapse.
OBJECTIVE
To evaluate the long-term outcomes of laparoscopic colposuspension with bilateral round-infundibulopelvic ligaments after hysterectomy in high-grade uterovaginal prolapse.


METHODS
Retrospective analysis of medical records (Canadian Task Force Classification II-3).


METHODS
University clinic center.


METHODS
Fifty-one patients with grade 3 (22 patients) or 4 (29 patients) uterovaginal prolapse.


METHODS
We performed laparoscopic colposuspension with bilateral round-infundibulopelvic ligaments after hysterectomy in 51 patients with grade 3 or 4 uterovaginal prolapse.


RESULTS
After a mean follow-up of 59.0 months (95% CI, 56.3-61.7), 51 patients (100.0%) had no sign or recurrence of prolapse. Postoperative transient abdominal discomfort, voiding difficulty, and vaginal spotting developed in 4 patients (7.8%), 2 patients (3.9%), and 1 patient (2.0%), respectively.


CONCLUSIONS
Laparoscopic colposuspension using bilateral round-infundibulopelvic ligaments after hysterectomy could be an effective surgical option in the treatment of high-grade uterovaginal prolapse.
Kim
Dong Ho
DH
Department of Obstetrics and Gynecology, Chung-Ang University College of Medicine, Seoul, Korea. godskrdy@gmail.com
Han
Seung-Su
SS
Lee
Il-Han
IH
D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D010535:Laparoscopy / Q000379:methods*; D008022:Ligaments / Q000601:surgery*; D008875:Middle Aged; D053825:Suburethral Slings; D013536:Suture Techniques; D013995:Time; D014596:Uterine Prolapse / Q000601:surgery*