Laparoscopic uterosacral uterine suspension: A minimally invasive technique for treating pelvic organ prolapse

Carlos Medina, Peter Takacs

Research output: Contribution to journalArticle

25 Scopus citations

Abstract

Study Objective: To assess the surgical outcomes of laparoscopic uterosacral uterine suspension and describe the surgical technique. Design: Retrospective chart review (Canadian Task Force classification II-3). Setting: University tertiary medical center. Patients: Twenty-three patients with symptomatic uterine prolapse and desire for uterine preservation who underwent surgical repair. Intervention: Laparoscopic uterine uterosacral uterine suspension. Measurements: Preoperative and postoperative evaluations were completed. The stage of pelvic organ prolapse was assessed using the ICS pelvic organ prolapse quantification (POP-Q) examination. Descriptive statistics and paired t testing were used for statistical analysis. Results: Nineteen of 23 patients (82.6%) had preoperative prolapse stage 2 or greater. Nine patients (40.9%) had uterine prolapse beyond the hymen. After operation there were significant improvements in the stage of prolapse (2 vs 0, p < .01). The POP-Q scores for point C and D were significantly further away from the hymen after operation than compared with the preoperative values (-0.6 vs -7.8, and -5.0 vs -8.6; p < .01) respectively. There were no intraoperative complications. The estimated blood loss (mean ± SD) was 111.5 ± 139.4 mL. The hospital stay (mean ± SD) was 2.2 ± 1.7 days. None of the patients had symptomatic prolapse during the mean follow-up of 15.9 months. Conclusion: Laparoscopic uterine suspension appears to be a safe and effective treatment option for uterine prolapse in patients who desire uterine preservation.

Original languageEnglish (US)
Pages (from-to)472-475
Number of pages4
JournalJournal of Minimally Invasive Gynecology
Volume13
Issue number5
DOIs
StatePublished - Sep 1 2006

Keywords

  • Endometrial ablation
  • Menorrhagia
  • Myomas
  • NovaSure

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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