Laparoscopic hysteropexy: the initial results of a uterine suspension procedure for uterovaginal prolapse
Article first published online: 6 JUL 2010
© 2010 The Authors Journal compilation © RCOG 2010 BJOG An International Journal of Obstetrics and Gynaecology
BJOG: An International Journal of Obstetrics & Gynaecology
Volume 117, Issue 9, page 1166, August 2010
How to Cite
Sasson, S., Busby, G. and Broome, J. (2010), Laparoscopic hysteropexy: the initial results of a uterine suspension procedure for uterovaginal prolapse. BJOG: An International Journal of Obstetrics & Gynaecology, 117: 1166. doi: 10.1111/j.1471-0528.2010.02617.x
- Issue published online: 6 JUL 2010
- Article first published online: 6 JUL 2010
- Accepted 19 April 2010.
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.