title: Long-term results of laparoscopic colposuspension with bilateral round-infundibulopelvic ligaments after hysterectomy for uterovaginal prolapse.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, Chung-Ang University College of Medicine, Seoul, Korea. godskrdy@gmail.com
authors.forename: Dong Ho
authors.initials: DH
authors.lastname: Kim
authors.forename: Seung-Su
authors.initials: SS
authors.lastname: Han
authors.forename: Il-Han
authors.initials: IH
authors.lastname: Lee
mesh_terms: 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*