title: Uterine prolapse in young women.
abstract: Contemporary understanding of the dynamic anatomy of pelvic floor support has lead us to new conservative surgery for the management uterine prolapse. The uterus itself does not play any role in the pathogenesis of uterine prolapse. Therefore, hysterectomy should not be the prime treatment, and fixing of the cervix to strong ligament such as sacrospinous ligament could give a more successful result and conservation of the uterus in young women. Other techniques, such as abdominal mesh hysteropexy or posterior intravaginal slingoplasty with conservation of the uterus, are alternative surgical options.
authors.affiliation: Benenden Hospital Trust, Benenden, Kent TN17 4AX, UK. mhefni@benenden.org.uk
authors.forename: Mohamed
authors.initials: M
authors.lastname: Hefni
authors.forename: Tarek
authors.initials: T
authors.lastname: El-Toucky
mesh_terms: D000328:Adult; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D007044:Hysterectomy; D053831:Surgical Fixation Devices; D013526:Surgical Mesh; D014596:Uterine Prolapse / Q000503:physiopathology / Q000601:surgery*; D014621:Vagina / Q000033:anatomy & histology / Q000502:physiology; D055815:Young Adult