title: Alternative surgical approach for the management of uterine prolapse in young women: preliminary results.
abstract: OBJECTIVE
  To demonstrate an alternative surgical approach for the management of uterine prolapse in young women by a technique that was previously defined for post-hysterectomy vaginal vault suspension in published work and also to demonstrate successful operative results.
  
  
  METHODS
  The study population consisted of 12 women aged 28-41 years who had stage 4 uterine prolapse and who were surgically treated by abdominal hysteropexy using autogenous rectus fascia strips. Operative results and postoperative follow-up Pelvic Organ Prolapse Quantification and Prolapse Quality of Life results were recorded.
  
  
  RESULTS
  Mean age of patients was 35.5 ± 4.1 years (range, 28-41). Mean parity in the study group was 2.6 ± 1.0 (range, 1-5). Mean operation time was 32.0 ± 5.2 min (range, 25-42). All patients were discharged on the postoperative 3rd day and no complications were observed postoperatively. Mean follow-up period was 20 ± 7.0 months (range, 12-36). All of the patients had complete remission for uterine prolapse and none of the patients had complaints related to the operation.
  
  
  CONCLUSIONS
  Abdominal hysteropexy operation using rectus fascia strips provides a safe and alternative approach for the management of uterine prolapse in young women who desire to preserve their uterus. But further analysis is needed to confirm our results.
authors.affiliation: Department of Obstetrics and Gynecology, Necmettin Erbakan University Meram Medical School, Konya, Turkey.
authors.forename: Rengin
authors.initials: R
authors.lastname: Karatayli
authors.forename: Osman
authors.initials: O
authors.lastname: Balci
authors.forename: Kazim
authors.initials: K
authors.lastname: Gezginç
authors.forename: Pinar
authors.initials: P
authors.lastname: Yildirim
authors.forename: Fikriye
authors.initials: F
authors.lastname: Karanfil
authors.forename: Ali
authors.initials: A
authors.lastname: Acar
mesh_terms: D000328:Adult; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000601:surgery*
keywords: abdominal hysteropexy; uterine prolapse; young women