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Published in: International Urogynecology Journal 5/2011

01-05-2011 | Original Article

Long-term outcomes of modified high uterosacral ligament vault suspension (HUSLS) at vaginal hysterectomy

Authors: Stergios K. Doumouchtsis, Azar Khunda, Stephen T. Jeffery, Anna Virginia M. Franco, Michelle M. Fynes

Published in: International Urogynecology Journal | Issue 5/2011

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Abstract

Introduction and hypothesis

The aim of this study was to prospectively evaluate long-term outcomes of a modified high uterosacral ligament suspension (HUSLS) at vaginal hysterectomy for pelvic organ prolapse (POP).

Methods

POP was assessed 5 years postoperatively in 42 women who underwent vaginal hysterectomy and HUSLS for POP. Bladder, bowel, sexual function and quality of life (QoL) were evaluated.

Results

Preoperatively, 27/42 women had at least BW grade 2 uterine prolapse. At a mean follow-up period of 59.4 months (range: 40–79 months), two women had undergone surgical intervention for vault prolapse, 33 had no vault prolapse and six grade 1 vault prolapse. One woman declined vaginal examination. Twenty women were sexually active and 18 completed the PISQ-31. The mean total score for all domains was 91/125. On QoL assessments high scores were noted in all domains.

Conclusions

Modified HUSLS at vaginal hysterectomy is associated with satisfactory long-term objective and subjective outcomes, sexual function and quality of life scores.
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Metadata
Title
Long-term outcomes of modified high uterosacral ligament vault suspension (HUSLS) at vaginal hysterectomy
Authors
Stergios K. Doumouchtsis
Azar Khunda
Stephen T. Jeffery
Anna Virginia M. Franco
Michelle M. Fynes
Publication date
01-05-2011
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 5/2011
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-010-1325-8

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