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International Urogynecology Journal

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01-01-2017 | Original Article

Transvaginal uterosacral ligament hysteropexy: a retrospective feasibility study

Authors: Rodolfo Milani, Matteo Frigerio, Stefano Manodoro, Alice Cola, Federico Spelzini

Published in: International Urogynecology Journal | Issue 1/2017

Abstract

Introduction and hypothesis

Uterine-sparing procedures could be attractive in patients concerned about preservation of fertility and change in corporeal image and sexuality. Transvaginal uterosacral hysteropexy can provide an alternative mesh-free technique for uterine suspension. This study aimed to evaluate the feasibility of transvaginal uterine suspension to uterosacral ligaments in terms of operative data, complications, midterm efficacy, and patient satisfaction.

Materials and methods

This retrospective study analyzed the first 20 cases of transvaginal hysteropexy through bilateral high uterosacral ligaments (modified Shull technique) performed in our Institution.

Results

Mean follow-up was 33.2 months. The procedure was performed in 84 ± 19 min ,and blood loss was 228 ± 139 ml. Three mild complications (15 %) were observed. Recurrence [Pelvic Organ Prolapse Quantification system (POP-Q) stage ≥ II was observed in five patients (25 %), and three of them (15 %) required reintervention. Mean Patient Global Impression of Improvement score was “much improved.” Two woman (40 %) who had not fulfilled their childbearing desire obtained a pregnancy. Both underwent elective caesarean section at term.

Conclusions

Transvaginal uterosacral hysteropexy appears a feasible mesh-free technique for apical support. This procedure can be indicated in women with the desire of preserving fertility or who prefer a uterine-sparing surgical option.

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Title: Transvaginal uterosacral ligament hysteropexy: a retrospective feasibility study
Authors: Rodolfo Milani
Matteo Frigerio
Stefano Manodoro
Alice Cola
Federico Spelzini
Publication date: 01-01-2017
Publisher: Springer London
Published in: International Urogynecology Journal / Issue 1/2017
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-016-3036-2

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Transvaginal uterosacral ligament hysteropexy: a retrospective feasibility study

Abstract

Introduction and hypothesis

Materials and methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Introduction and hypothesis

Materials and methods

Results

Conclusions

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