Conflict of interest: None.
Alternative surgical approach for the management of uterine prolapse in young women: Preliminary results
Article first published online: 15 JUL 2013
© 2013 The Authors. Journal of Obstetrics and Gynaecology Research © 2013 Japan Society of Obstetrics and Gynecology
Journal of Obstetrics and Gynaecology Research
Volume 39, Issue 10, pages 1465–1470, October 2013
How to Cite
Karatayli, R., Balci, O., Gezginç, K., Yildirim, P., Karanfil, F. and Acar, A. (2013), Alternative surgical approach for the management of uterine prolapse in young women: Preliminary results. Journal of Obstetrics and Gynaecology Research, 39: 1465–1470. doi: 10.1111/jog.12084
Author contribution: All of the authors performed the operations, R. K. and F. K. wrote paper, and all authors commented on the paper.
- Issue published online: 7 OCT 2013
- Article first published online: 15 JUL 2013
- Manuscript Accepted: 8 JAN 2013
- Manuscript Received: 17 SEP 2012
- abdominal hysteropexy;
- uterine prolapse;
- young women
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.
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.
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.
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.