Laparoscopic hysteropexy: the initial results of a uterine suspension procedure for uterovaginal prolapse

Sir,

We read with interest the study by Price et al.¹ It was reported that this technique is a uterus-sparing surgical procedure for correction of uterine prolapse. Many women are now increasingly requesting uterine conservation, for a variety of reasons, including preservation of their fertility. It was mentioned that these women should subsequently be delivered by elective caesarean section because the mesh could potentially prevent cervical dilatation. Of the 51 women in their study it was stated that none have so far become pregnant. We would like draw attention to our report of a woman who underwent a laparoscopic sacrohysteropexy and went on to have a successful pregnancy. This 31-year-old lady became pregnant a year after the procedure. She experienced a normal pregnancy and was delivered by elective caesarean section at term. Follow up postpartum revealed a well-supported uterus, the sacrohysteropexy repair remaining intact. This emphasises the strength of the operation, which was able to withstand the mechanical stresses of pregnancy. This was reported as the world’s first such case, and was published in Gynecological Surgery.²

We agree that this is an effective procedure for the management of uterovaginal prolapse, and should be considered in women wishing to retain their fertility.