Long-term outcomes of modified high uterosacral ligament vault suspension (HUSLS) at vaginal hysterectomy.
OBJECTIVE
The aim of this study was to prospectively evaluate long-term outcomes of a modified high uterosacral ligament suspension (HUSLS) at vaginal hysterectomy for pelvic organ prolapse (POP).


METHODS
POP was assessed 5 years postoperatively in 42 women who underwent vaginal hysterectomy and HUSLS for POP. Bladder, bowel, sexual function and quality of life (QoL) were evaluated.


RESULTS
Preoperatively, 27/42 women had at least BW grade 2 uterine prolapse. At a mean follow-up period of 59.4 months (range: 40-79 months), two women had undergone surgical intervention for vault prolapse, 33 had no vault prolapse and six grade 1 vault prolapse. One woman declined vaginal examination. Twenty women were sexually active and 18 completed the PISQ-31. The mean total score for all domains was 91/125. On QoL assessments high scores were noted in all domains.


CONCLUSIONS
Modified HUSLS at vaginal hysterectomy is associated with satisfactory long-term objective and subjective outcomes, sexual function and quality of life scores.
Department of Pelvic Reconstructive Surgery and Urogynaecology, St. George's Hospital, 4th Floor Lanesborough Wing, Blackshaw Road, London SW17 0QT England, UK. sdoum@yahoo.com
Stergios K
SK
Doumouchtsis
Azar
A
Khunda
Stephen T
ST
Jeffery
Anna Virginia M
AV
Franco
Michelle M
MM
Fynes
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000379:methods*; D008022:Ligaments / Q000601:surgery*; D008875:Middle Aged; D017060:Patient Satisfaction; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D011446:Prospective Studies; D011788:Quality of Life; D012189:Retrospective Studies; D012725:Sexual Behavior; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome