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International Urogynecology Journal
Published in: International Urogynecology Journal 4/2004

01-08-2004 | Review Article

Uterine preservation during surgery for uterovaginal prolapse: a review

Authors: Aparna Diwan, Charles R. Rardin, Neeraj Kohli

Published in: International Urogynecology Journal | Issue 4/2004

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Abstract

The traditional surgical treatment for uterovaginal prolapse has been vaginal hysterectomy. For many reasons, women may request uterine preservation at the time of prolapse surgery. The purpose of this paper is to review the medical literature pertaining to the role of uterine preservation during reconstructive surgery for uterovaginal prolapse. A MEDLINE search of literature in the English language (1966 to current) was carried out using the keywords ‘hysterectomy’, ‘hysteropexy’, ‘uterine preservation’, ‘uterine suspension’ and ‘uterovaginal prolapse.’ Fourteen articles primarily addressing the surgical repair of uterovaginal prolapse with uterine preservation were included in this review. Papers primarily addressing other forms of pelvic organ prolapse, incontinence or obliterative procedures were excluded. Existing procedures and their clinical outcomes were reviewed. The current literature suggests that uterine preservation during surgery for uterovaginal prolapse may be an option in appropriately selected women who desire it; prospective, randomized trials are needed to corroborate this.
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Metadata
Title
Uterine preservation during surgery for uterovaginal prolapse: a review
Authors
Aparna Diwan
Charles R. Rardin
Neeraj Kohli
Publication date
01-08-2004
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 4/2004
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-004-1166-4

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