title: Modified cervicopexy: a novel, less-invasive technique for Stages III and IV uterine prolapse.
abstract: OBJECTIVE
  To evaluate modified anterior abdominal wall cervicopexy (AWC) as a less invasive (via 3-cm minilaparotomy) and more augmented (via securing posterior vaginal wall to uterosacral ligaments) technique.
  
  
  METHODS
  Case series of 30 women with Stages III and IV apical uterine prolapse assessed by the pelvic organ prolapse quantification system.
  
  
  RESULTS
  The modified AWC procedure was performed successfully for 17 cases with Stage III uterovaginal prolapse and 13 cases with Stage IV uterovaginal prolapse. The procedure was conducted safely with no operative or postoperative complications, apart from two cases with postoperative urinary retention. Operative time ranged from 45 to 70min. Follow-up was available for 1-3 years. Overall, 27 cases were satisfied with the procedure, and three cases developed recurrence after caesarean section due to cutting the supporting sutures.
  
  
  CONCLUSIONS
  The modified AWC procedure is less invasive, simple and effective for Stages III and IV uterine prolapse.
authors.affiliation: Department of Obstetrics and Gynaecology, Faculty of Medicine, Assiut Woman's Health Hospital, Assiut University, Assiut, Egypt.
authors.forename: Ali M
authors.initials: AM
authors.lastname: Elsaman
authors.affiliation: Department of Obstetrics and Gynaecology, Faculty of Medicine, Assiut Woman's Health Hospital, Assiut University, Assiut, Egypt.
authors.forename: Hosam T
authors.initials: HT
authors.lastname: Salem
authors.affiliation: Sohage University, Sohage, Egypt.
authors.forename: Magdy
authors.initials: M
authors.lastname: Amin
authors.affiliation: Department of Obstetrics and Gynaecology, Faculty of Medicine, Assiut Woman's Health Hospital, Assiut University, Assiut, Egypt. Electronic address: ahmedfetih@yahoo.com.
authors.forename: Ahmed N
authors.initials: AN
authors.lastname: Fetih
authors.affiliation: Department of Obstetrics and Gynaecology, Faculty of Medicine, Assiut Woman's Health Hospital, Assiut University, Assiut, Egypt.
authors.forename: Essam-Edin R
authors.initials: EE
authors.lastname: Othman
authors.affiliation: Department of Obstetrics and Gynaecology, Faculty of Medicine, Assiut Woman's Health Hospital, Assiut University, Assiut, Egypt.
authors.forename: Kamal M
authors.initials: KM
authors.lastname: Zahran
mesh_terms: D000328:Adult; D002584:Cervix Uteri / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D061646:Operative Time; D011183:Postoperative Complications; D016896:Treatment Outcome; D016055:Urinary Retention / Q000209:etiology; D014596:Uterine Prolapse / Q000175:diagnosis / Q000601:surgery*
keywords: Anterior abdominal wall; Cervicopexy; Hysteropexy; Uterine prolapse; Uterine suspension