Laparoscopic Uterosacral Ligament Hysteropexy vs Total Vaginal Hysterectomy with Uterosacral Ligament Suspension for Anterior and Apical Prolapse: Surgical Outcome and Patient Satisfaction

Journal of Minimally Invasive Gynecology
Rani Haj-YahyaDavid Shveiky

Abstract

To compare anatomic and clinical cure rates as well as patient satisfaction between uterine-preserving laparoscopic uterosacral ligament suspension and total vaginal hysterectomy with uterosacral ligament suspension in women with apical and anterior prolapse. Single-center clinical comparative retrospective cohort study. A female pelvic medicine and reconstructive surgery service at a tertiary teaching hospital. Women with pelvic organ prolapse who underwent surgical treatment for their condition between July 2010 and December 2015. All women underwent laparoscopic uterosacral ligament suspension or total vaginal hysterectomy with uterosacral ligament suspension for apical and anterior prolapse. Concomitant procedures included anterior and posterior repair, as well as a midurethral sling when indicated. Preoperative and postoperative Pelvic Organ Prolapse Quantification (POP-Q) measurements were obtained. The primary outcome was clinical cure rate. Secondary outcomes included anatomic cure rate and outcomes of site-specific POP-Q points Ba, C, and Bp for the whole cohort. Patient satisfaction was measured using the Patient Global Impression of Improvement questionnaire. During the study period, 106 women underwent transvaginal ...Continue Reading

Citations

Dec 22, 2019·Chembiochem : a European Journal of Chemical Biology·Madhu RameshThimmaiah Govindaraju
Aug 19, 2020·International Urogynecology Journal·Stefano ManodoroMatteo Frigerio
Aug 28, 2019·Neurourology and Urodynamics·Paulina SzymczakDariusz Grzegorz Wydra
Oct 16, 2019·Current Urology Reports·Ricardo Palmerola, Nirit Rosenblum
Feb 7, 2021·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Roxana Geoffrion, Maryse Larouche
Feb 7, 2021·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Roxana Geoffrion, Maryse Larouche
Apr 17, 2021·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Giovanni PanicoAlfredo Ercoli
May 7, 2021·Obstetrics and Gynecology·Maryse LaroucheRoxana Geoffrion
May 8, 2021·Journal of Minimally Invasive Gynecology·Sarah EckhardtAmy Rosenman

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