Sacrohysteropexy with synthetic mesh for the management of uterovaginal prolapse.
BJOG
; 108(6): 629-33, 2001 Jun.
Article
en En
| MEDLINE
| ID: mdl-11426899
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.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Mallas Quirúrgicas
/
Útero
/
Vagina
/
Prolapso Uterino
Tipo de estudio:
Observational_studies
Límite:
Adult
/
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
BJOG
Asunto de la revista:
GINECOLOGIA
/
OBSTETRICIA
Año:
2001
Tipo del documento:
Article
País de afiliación:
Israel
Pais de publicación:
Reino Unido