title: Clinical outcome after laparoscopic assisted vaginal hysterectomy with transvaginal uterosacral ligament fixation.
abstract: OBJECTIVE
  We report here the clinical outcome of a simplified method to suspend the vaginal cuff during laparoscopic assisted vaginal hysterectomy.
  
  
  METHODS
  This is a retrospective study. Fifty patients underwent laparoscopic assisted vaginal hysterectomy and received transvaginal uterosacral ligament fixation for vaginal cuff support (LAVHUS). Follow-up examinations were conducted for at least 24 months and included vaginal examination with prolapse grading using the POP-Q system. Subjective outcomes were measured using a questionnaire that asked patients to describe postoperative lower urinary tract symptoms and satisfaction with the procedure.
  
  
  RESULTS
  The mean follow-up duration was 106 weeks (range 102-120 weeks).The postoperative POP-Q point C and total vaginal length were effectively sustained during this period. There were no intraoperative or postoperative complications, and no adverse postoperative lower urinary tract symptoms were reported.
  
  
  CONCLUSIONS
  The present study demonstrated satisfactory subjective and objective clinical outcomes following LAVHUS.
authors.affiliation: Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Taiwan.
authors.forename: Pei-Ju
authors.initials: PJ
authors.lastname: Wu
authors.forename: Ling-Hong
authors.initials: LH
authors.lastname: Tseng
authors.forename: Shuenn-Dyh
authors.initials: SD
authors.lastname: Chang
authors.forename: Chyi-Long
authors.initials: CL
authors.lastname: Lee
mesh_terms: D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000379:methods*; D010535:Laparoscopy / Q000379:methods*; D008022:Ligaments / Q000601:surgery*; D008875:Middle Aged; D017060:Patient Satisfaction; D056887:Pelvic Organ Prolapse / Q000209:etiology / Q000517:prevention & control; D011183:Postoperative Complications / Q000517:prevention & control; D012189:Retrospective Studies; D012447:Sacrum; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014591:Uterine Diseases / Q000601:surgery; D014621:Vagina / Q000601:surgery*