Uduak U Andy1, Patrick A Nosti2, Sarah Kane3, Dena White4, Lior Lowenstein5, Robert E Gutman2, Heidi S Harvie6. 1. Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia. Electronic address: uduak.umoh@uphs.upenn.edu. 2. Medstar Washington Hospital Center, Georgetown University School of Medicine, Washington, DC. 3. Metro Health Medical Center, Case Western Reserve University, Cleveland, Ohio. 4. University of Oklahoma, Oklahoma City. 5. Department of Obstetrics and Gynecology, Rambam Health Care Campus, Haifa, Israel. 6. Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia.
Abstract
STUDY OBJECTIVE: To determine the incidence of unanticipated uterine pathologic findings in women undergoing hysterectomy concomitant with minimally invasive sacrocolpopexy. DESIGN: Retrospective case series (Canadian Task Force classification III). SETTING: Four institutions in the United States. PATIENTS: Women undergoing laparoscopic or robotically assisted sacrocolpopexy with hysterectomy. INTERVENTIONS: Concurrent hysterectomy and minimally invasive sacrocolpopexy. MEASUREMENTS AND MAIN RESULTS: We measured the incidence of clinically important uterine disease at minimally invasive sacrocolpopexy. A total of 324 women underwent concurrent hysterectomy and minimally invasive sacrocolpopexy. Their mean age was 56.1 years, and body mass index was 26.9 kg/m(2). Sixty-four percent were postmenopausal. Only 3 patients (0.92%) had abnormal uterine pathologic findings. No significant differences were noted in age, body mass index, or parity between the women with normal and abnormal uterine pathologic findings. None of the 3 women reported abnormal uterine bleeding before surgery. All lesions were premalignant and focal. No invasive carcinomas were identified. No patients required further follow-up or treatment of abnormal pathologic findings. CONCLUSION: The risk of unanticipated uterine pathologic findings during minimally invasive sacrocolpopexy to treat pelvic organ prolapse is low.
STUDY OBJECTIVE: To determine the incidence of unanticipated uterine pathologic findings in women undergoing hysterectomy concomitant with minimally invasive sacrocolpopexy. DESIGN: Retrospective case series (Canadian Task Force classification III). SETTING: Four institutions in the United States. PATIENTS: Women undergoing laparoscopic or robotically assisted sacrocolpopexy with hysterectomy. INTERVENTIONS: Concurrent hysterectomy and minimally invasive sacrocolpopexy. MEASUREMENTS AND MAIN RESULTS: We measured the incidence of clinically important uterine disease at minimally invasive sacrocolpopexy. A total of 324 women underwent concurrent hysterectomy and minimally invasive sacrocolpopexy. Their mean age was 56.1 years, and body mass index was 26.9 kg/m(2). Sixty-four percent were postmenopausal. Only 3 patients (0.92%) had abnormal uterine pathologic findings. No significant differences were noted in age, body mass index, or parity between the women with normal and abnormal uterine pathologic findings. None of the 3 women reported abnormal uterine bleeding before surgery. All lesions were premalignant and focal. No invasive carcinomas were identified. No patients required further follow-up or treatment of abnormal pathologic findings. CONCLUSION: The risk of unanticipated uterine pathologic findings during minimally invasive sacrocolpopexy to treat pelvic organ prolapse is low.
Authors: Vrunda B Desai; Jason D Wright; Cary P Gross; Haiqun Lin; Francis P Boscoe; Lindsey M Hutchison; Peter E Schwartz; Xiao Xu Journal: Am J Obstet Gynecol Date: 2019-03-07 Impact factor: 8.661
Authors: Giuseppe Campagna; Lorenzo Vacca; Giovanni Panico; Valerio Rumolo; Daniela Caramazza; Andrea Lombisani; Cristiano Rossitto; Pierre Gadonneix; Giovanni Scambia; Alfredo Ercoli Journal: Int Urogynecol J Date: 2021-06-16 Impact factor: 2.894