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International Urogynecology Journal
Published in: International Urogynecology Journal 9/2013

01-09-2013 | Case Report

Extreme cervical elongation after sacrohysteropexy

Authors: Mark E. Vierhout, Jurgen J. Fütterer

Published in: International Urogynecology Journal | Issue 9/2013

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Abstract

We present a case of extreme cervical elongation with a cervix of 12 cm after an unusual operation in which the uterine corpus was directly fixed to the promontory, and which became symptomatic after 8 years. The possible pathophysiology of cervical elongation is discussed. Diagnosing a case of severe cervical elongation can be important in the pre-operative evaluation. It can alter the operative plan to a uterus-sparing technique or it can alert the surgeon to a difficult entry in the abdominal cavity during vaginal hysterectomy.
Literature
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Bump RC, Matiasson A, Bo K, Brubaker LP, DeLancey JO, Klarskov P et al (1996) The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 175:10–17PubMedCrossRef
2.
Berger MB, Ramanah R, Guire KE, Delancey JOL (2012) Is cervical elongation associated with pelvic organ prolapse? Int Urogynecol J 23:1095–1103PubMedCrossRef
3.
Okechukwu AI, Chesson RR, Sandquist D, Perez J, Santiago K, Nolan TE (2010) Hypertrophic cervical elongation: clinical and histological correlations. Int Urogynecol J 21:995–1000CrossRef
4.
DeBoer TA, Milani AL, Kluivers KB, Withagen MIJ, Vierhout ME (2009) The effectiveness of surgical correction of uterine prolapse: cervical amputation with uterosacral ligament plication (modified Manchester) versus vaginal hysterectomy with high uterosacral ligament plication. Int Urogynecol J Pelvic Floor Dysfunct 20:1313–1319CrossRef
Metadata
Title
Extreme cervical elongation after sacrohysteropexy
Authors
Mark E. Vierhout
Jurgen J. Fütterer
Publication date
01-09-2013
Publisher
Springer London
Published in
International Urogynecology Journal / Issue 9/2013
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-012-1939-0

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