title: Laparoscopic colposuspension to the Cooper's ligament after hysterectomy for uterovaginal prolapse.
abstract: OBJECTIVE
  The goal of this study was to evaluate the long-term outcomes of laparoscopic colposuspension to the Cooper's ligament after hysterectomy for uterovaginal prolapse.
  
  
  METHODS
  We performed chart reviews of 43 patients with uterovaginal prolapse who underwent laparoscopic colposuspension to the Cooper's ligament after hysterectomy at Daejeon St. Mary's Hospital, Catholic University of Korea from 2003 to 2009. These patients exhibited grade 3 (29 patients) or grade 4 (14 patients) uterovaginal prolapse.
  
  
  RESULTS
  The mean age was 63.2 years (range, 39-76). The mean follow-up period was 44.2 months (95% CI, 36.8-51.5). Forty-three patients showed no sign or recurrence of prolapse. Postoperative complications were tolerable and curable. Urinary frequency (2 patients, 4.7%), voiding difficulty (2 patients, 4.7%), nocturia (1 patient, 2.3%) and vaginal spotting (1 patient, 2.3%) were reported.
  
  
  CONCLUSIONS
  Laparoscopic colposuspension using Cooper's ligament after hysterectomy could be an effective surgical option for the treatment of uterovaginal prolapse.
authors.affiliation: Department of Obstetrics and Gynecology, College of Medicine, The Catholic University of Korea, Korea.
authors.forename: Won Sik
authors.initials: WS
authors.lastname: Yoon
authors.forename: Hae Nam
authors.initials: HN
authors.lastname: Lee
authors.forename: Yong Seok
authors.initials: YS
authors.lastname: Lee
authors.forename: In Cheul
authors.initials: IC
authors.lastname: Jeung
authors.forename: Eun Kyung
authors.initials: EK
authors.lastname: Park
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods* / Q000706:statistics & numerical data; D006801:Humans; D007044:Hysterectomy; D010535:Laparoscopy / Q000379:methods; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D012189:Retrospective Studies