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Keywords:

  • abdominal hysteropexy;
  • uterine prolapse;
  • young women

Abstract

Aim

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.

Conclusion

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.