Sacrohysteropexy with synthetic mesh for the management of uterovaginal prolapse

Objective To study the ongoing results of sacrohysteropexy with Teflon mesh for treatment of uterovaginal prolapse in women who desire to preserve their uterus. Design Prospective observational study. Setting Tertiary referral urogynaecology unit. Participants Thirteen consecutive women with uterova...

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Veröffentlicht in:BJOG : an international journal of obstetrics and gynaecology 2001-06, Vol.108 (6), p.629-633
Hauptverfasser: Leron, Elad, Stanton, Stuart L.
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creator Leron, Elad
Stanton, Stuart L.
description Objective To study the ongoing results of sacrohysteropexy with Teflon mesh for treatment of uterovaginal prolapse in women who desire to preserve their uterus. Design Prospective observational study. Setting Tertiary referral urogynaecology unit. Participants Thirteen consecutive women with uterovaginal prolapse wishing to retain their uterus operated on by one surgeon. Surgical method Sacrohysteropexy with Teflon mesh attached to the uterine isthmus and to the anterior longitudinal ligament of the first or second sacral vertebra in a tension‐free fashion. Main outcome measures Subjective and objective cure of uterine prolapse and operative and post‐operative complications. Results The mean age of the women was 38 years (range 27–60). Eight women were multiparous. Twelve women had second degree uterine prolapse and one woman had third degree of uterine prolapse. Mesh was extended to correct a cystocele in one woman and a rectocele in three women. In four women colposuspension was performed at the same time. There were no intra‐ and post‐operative complications. The mean follow up time was 16 months (range 4–49). At follow up only one woman had a first degree uterine prolapse. A total of seven women (53.8%) reported constipation which had been experienced pre‐operatively by four women (30.8%). Conclusions We consider the sacrohysteropexy with Teflon mesh a safe, effective and durable surgical procedure for the management of uterovaginal prolapse in young women and those who desire to retain their uterus.
doi_str_mv 10.1111/j.1471-0528.2001.00138.x
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Design Prospective observational study. Setting Tertiary referral urogynaecology unit. Participants Thirteen consecutive women with uterovaginal prolapse wishing to retain their uterus operated on by one surgeon. Surgical method Sacrohysteropexy with Teflon mesh attached to the uterine isthmus and to the anterior longitudinal ligament of the first or second sacral vertebra in a tension‐free fashion. Main outcome measures Subjective and objective cure of uterine prolapse and operative and post‐operative complications. Results The mean age of the women was 38 years (range 27–60). Eight women were multiparous. Twelve women had second degree uterine prolapse and one woman had third degree of uterine prolapse. Mesh was extended to correct a cystocele in one woman and a rectocele in three women. In four women colposuspension was performed at the same time. There were no intra‐ and post‐operative complications. The mean follow up time was 16 months (range 4–49). At follow up only one woman had a first degree uterine prolapse. A total of seven women (53.8%) reported constipation which had been experienced pre‐operatively by four women (30.8%). Conclusions We consider the sacrohysteropexy with Teflon mesh a safe, effective and durable surgical procedure for the management of uterovaginal prolapse in young women and those who desire to retain their uterus.</description><identifier>ISSN: 1470-0328</identifier><identifier>EISSN: 1471-0528</identifier><identifier>DOI: 10.1111/j.1471-0528.2001.00138.x</identifier><identifier>PMID: 11426899</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Adult ; Biological and medical sciences ; Female ; Humans ; Medical sciences ; Middle Aged ; Polytetrafluoroethylene - therapeutic use ; Prospective Studies ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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Design Prospective observational study. Setting Tertiary referral urogynaecology unit. Participants Thirteen consecutive women with uterovaginal prolapse wishing to retain their uterus operated on by one surgeon. Surgical method Sacrohysteropexy with Teflon mesh attached to the uterine isthmus and to the anterior longitudinal ligament of the first or second sacral vertebra in a tension‐free fashion. Main outcome measures Subjective and objective cure of uterine prolapse and operative and post‐operative complications. Results The mean age of the women was 38 years (range 27–60). Eight women were multiparous. Twelve women had second degree uterine prolapse and one woman had third degree of uterine prolapse. Mesh was extended to correct a cystocele in one woman and a rectocele in three women. In four women colposuspension was performed at the same time. There were no intra‐ and post‐operative complications. The mean follow up time was 16 months (range 4–49). At follow up only one woman had a first degree uterine prolapse. A total of seven women (53.8%) reported constipation which had been experienced pre‐operatively by four women (30.8%). Conclusions We consider the sacrohysteropexy with Teflon mesh a safe, effective and durable surgical procedure for the management of uterovaginal prolapse in young women and those who desire to retain their uterus.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Polytetrafluoroethylene - therapeutic use</subject><subject>Prospective Studies</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Design Prospective observational study. Setting Tertiary referral urogynaecology unit. Participants Thirteen consecutive women with uterovaginal prolapse wishing to retain their uterus operated on by one surgeon. Surgical method Sacrohysteropexy with Teflon mesh attached to the uterine isthmus and to the anterior longitudinal ligament of the first or second sacral vertebra in a tension‐free fashion. Main outcome measures Subjective and objective cure of uterine prolapse and operative and post‐operative complications. Results The mean age of the women was 38 years (range 27–60). Eight women were multiparous. Twelve women had second degree uterine prolapse and one woman had third degree of uterine prolapse. Mesh was extended to correct a cystocele in one woman and a rectocele in three women. In four women colposuspension was performed at the same time. There were no intra‐ and post‐operative complications. The mean follow up time was 16 months (range 4–49). At follow up only one woman had a first degree uterine prolapse. A total of seven women (53.8%) reported constipation which had been experienced pre‐operatively by four women (30.8%). Conclusions We consider the sacrohysteropexy with Teflon mesh a safe, effective and durable surgical procedure for the management of uterovaginal prolapse in young women and those who desire to retain their uterus.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>11426899</pmid><doi>10.1111/j.1471-0528.2001.00138.x</doi><tpages>5</tpages></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adult
Biological and medical sciences
Female
Humans
Medical sciences
Middle Aged
Polytetrafluoroethylene - therapeutic use
Prospective Studies
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the genital tract and mammary gland
Surgical Mesh
Suture Techniques
Treatment Outcome
Uterine Prolapse - surgery
Uterus - surgery
Vagina - surgery
title Sacrohysteropexy with synthetic mesh for the management of uterovaginal prolapse
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