OBJECTIVE: To evaluate the results of abdominal sacrohysteropexy using polypropylene mesh in women with uterovaginal prolapse, wishing to preserve their uteri. DESIGN: Prospective observational study. SETTING: Tertiary referral Gynecology centre. SUBJECTS: Thirty-three women with symptomatic uterovaginal prolapse operated on by the same surgeon. SURGICAL METHOD: Sacrohysteropexy performed using polypropylene mesh extending between the back of the uterus at the uterosacral ligaments and the sacrum. MAIN OUTCOME MEASURES: Subjective and objective relief of uterine prolapse and operative and post-operative complications. RESULTS: The mean age of the women was 46 years (range 29-65). All were multiparous with mean weight of 83.3 kg (70-96). Pelvic organ prolapse (POP-Q) stage 2 was found in 27 cases (81.8%) and stage 3 in six women (12.2%). Mean operative time was 45.76 min (30-75), and mean hospital stay was 2.45 days. One case suffered rectal injury, one case had median sacral vein injury, both were repaired immediately. Two cases had delayed voiding recovery. The mean follow up time was 6 months. At follow up, only two cases showed recurrence, and the objective and subjective success rates at 6 months were 93.93 and 81.8%, respectively. CONCLUSIONS: Abdominal sacrohysteropexy is a safe, efficient surgical technique for treatment of uterine prolapse in women who desire to preserve the uterus. This procedure has a high success rate and is an easy technique with short learning curve.
OBJECTIVE: To evaluate the results of abdominal sacrohysteropexy using polypropylene mesh in women with uterovaginal prolapse, wishing to preserve their uteri. DESIGN: Prospective observational study. SETTING: Tertiary referral Gynecology centre. SUBJECTS: Thirty-three women with symptomatic uterovaginal prolapse operated on by the same surgeon. SURGICAL METHOD: Sacrohysteropexy performed using polypropylene mesh extending between the back of the uterus at the uterosacral ligaments and the sacrum. MAIN OUTCOME MEASURES: Subjective and objective relief of uterine prolapse and operative and post-operative complications. RESULTS: The mean age of the women was 46 years (range 29-65). All were multiparous with mean weight of 83.3 kg (70-96). Pelvic organ prolapse (POP-Q) stage 2 was found in 27 cases (81.8%) and stage 3 in six women (12.2%). Mean operative time was 45.76 min (30-75), and mean hospital stay was 2.45 days. One case suffered rectal injury, one case had median sacral vein injury, both were repaired immediately. Two cases had delayed voiding recovery. The mean follow up time was 6 months. At follow up, only two cases showed recurrence, and the objective and subjective success rates at 6 months were 93.93 and 81.8%, respectively. CONCLUSIONS: Abdominal sacrohysteropexy is a safe, efficient surgical technique for treatment of uterine prolapse in women who desire to preserve the uterus. This procedure has a high success rate and is an easy technique with short learning curve.