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International Urogynecology Journal

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01-07-2010 | Original Article

Uterus conserving prolapse surgery—what is the chance of missing a malignancy?

Authors: Arasee Renganathan, Robin Edwards, Jonathan R. A. Duckett

Published in: International Urogynecology Journal | Issue 7/2010

Abstract

Introduction and hypothesis

Recently, there has been a move towards uterine preserving surgery in the management of pelvic organ prolapse. The negative implications of such surgery have not been delineated. This study aims to identify the risk of finding an unexpected malignancy in these cases.

Methods

A database containing details of vaginal hysterectomies performed over a 10-year period was searched. Women who underwent surgery for uterine prolapse were included. Women with other indications for surgery and those who presented with symptoms relating to endometrial or cervical malignancy were excluded. As this is a non-interventional observational study, formal ethical approval was not obtained.

Results

Out of 517 women who underwent a vaginal hysterectomy for prolapse, four cases of endometrial carcinoma were identified giving an incidence of 0.8%.

Conclusions

Conserving a prolapsed uterus without further investigations runs the risk of missing women with endometrial malignancy.

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Van den Bosch T, Van Schoubroeck D, Domali E, Vergote I, Moerman P, Amant F et al (2007) A thin and regular endometrium on ultrasound is very unlikely in patients with endometrial malignancy. Ultrasound Obstet Gynecol 29(6):674–679CrossRefPubMed

Srikrishna S, Robinson D, Cardozo L, Yazbek J, Jurkovic D (2008) Is transvaginal ultrasound a worthwhile investigation for women undergoing vaginal hysterectomy? J Obstet Gynaecol 28(4):418–420CrossRefPubMed

Koss LG (1995) Detection of occult endometrial carcinoma. J Cell Biochem Supp 23:165–173CrossRef

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Title: Uterus conserving prolapse surgery—what is the chance of missing a malignancy?
Authors: Arasee Renganathan
Robin Edwards
Jonathan R. A. Duckett
Publication date: 01-07-2010
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 7/2010
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-010-1101-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Uterus conserving prolapse surgery—what is the chance of missing a malignancy?

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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