Skip to main content
Erschienen in: International Urogynecology Journal 5/2012

01.05.2012 | Original Article

Hysteropexy compared to hysterectomy for uterine prolapse surgery: does durability differ?

verfasst von: Lauri J. Romanzi, Renuka Tyagi

Erschienen in: International Urogynecology Journal | Ausgabe 5/2012

Einloggen, um Zugang zu erhalten

Abstract

Introduction and hypothesis

The aim of this study is to assess the impact of hysterectomy on durability of uterine prolapse repair by comparing hysterectomy/uterosacral cuff suspension (VH) to a new vaginal uterosacral hysteropexy (USH).

Methods

A retrospective chart review of uterine prolapse patients after USH or VH with concomitant procedures as indicated was conducted, analyzing Baden–Walker grading of apex, anterior, and posterior compartments (Kaplan–Meier analysis) Baden et al. (Tex Med 64(5):56-58, 1968).

Results

A total of 200 charts met criteria. USH women weighed less, were younger, and more constipated with larger rectoceles. Levator parameters did not differ Romanzi et al. (Neurourol Urodyn 18(6):603-612, 1999). Baden–Walker data were entered at recurrence or minimum of 6 months (2.4 months–10 years; median, 1.5 years). All-apex durability was 96.4%, with no difference between hysteropexy and cuff suspension (96.0% vs. 96.8%, p = 0.90), cystocele (86.8% vs. 93.8%, p = 0.31), or rectocele (97.8% vs. 100%, p = 0.16) at 2 years.

Conclusion

In uterine prolapse patients, technically similar uterosacral hysteropexy durability did not differ from hysterectomy-based cuff suspension nor between cohorts for cystocele or rectocele.
Literatur
1.
Zurück zum Zitat Baden WF, Walker TA, Lindsey JH (1968) The vaginal profile. Tex Med 64(5):56–58PubMed Baden WF, Walker TA, Lindsey JH (1968) The vaginal profile. Tex Med 64(5):56–58PubMed
2.
Zurück zum Zitat Romanzi LJ, Polaneczky M, Glazer HI (1999) Simple test of pelvic muscle contraction during pelvic examination: correlation to surface electromyography. Neurourol Urodyn 18(6):603–612PubMedCrossRef Romanzi LJ, Polaneczky M, Glazer HI (1999) Simple test of pelvic muscle contraction during pelvic examination: correlation to surface electromyography. Neurourol Urodyn 18(6):603–612PubMedCrossRef
3.
Zurück zum Zitat U.S. Department of Health & Human Services. Agency for Healthcare Research and Quality. (2010) AHRQ Homepage. http://www.ahrq.gov. Accessed 12 Jan 2012 U.S. Department of Health & Human Services. Agency for Healthcare Research and Quality. (2010) AHRQ Homepage. http://​www.​ahrq.​gov. Accessed 12 Jan 2012
6.
Zurück zum Zitat Richardson DA, Scotti RJ, Ostergard DR (1989) Surgical management of uterine prolapse in young women. J Reprod Med 34(6):388–392PubMed Richardson DA, Scotti RJ, Ostergard DR (1989) Surgical management of uterine prolapse in young women. J Reprod Med 34(6):388–392PubMed
7.
Zurück zum Zitat Ridgeway B, Frick AC, Walter MD (2008) Hysteropexy. A review. Minerva Ginecol 60(6):509–528PubMed Ridgeway B, Frick AC, Walter MD (2008) Hysteropexy. A review. Minerva Ginecol 60(6):509–528PubMed
8.
Zurück zum Zitat Park AJ, Paraiso MF (2008) Surgical management of uterine prolapse. Minerva Ginecol 60(6):493–507PubMed Park AJ, Paraiso MF (2008) Surgical management of uterine prolapse. Minerva Ginecol 60(6):493–507PubMed
9.
Zurück zum Zitat Shull BL, Bachofen C, Coates KW, Kuehl TJ (2000) A transvaginal approach to repair of apical and other associated sites of pelvic organ prolapse with uterosacral ligaments. Am J Obstet Gynecol 183(6):1365–1373PubMedCrossRef Shull BL, Bachofen C, Coates KW, Kuehl TJ (2000) A transvaginal approach to repair of apical and other associated sites of pelvic organ prolapse with uterosacral ligaments. Am J Obstet Gynecol 183(6):1365–1373PubMedCrossRef
10.
Zurück zum Zitat Diwan A, Rardin CR, Strohsnitter WC, Weld A, Rosenblatt P, Kohli N (2006) Laparoscopic uterosacral ligament uterine suspension compared with vaginal hysterectomy with vaginal vault suspension for uterovaginal prolapse. Int Urogynecol J Pelvic Floor Dysfunct 17(1):79–83PubMedCrossRef Diwan A, Rardin CR, Strohsnitter WC, Weld A, Rosenblatt P, Kohli N (2006) Laparoscopic uterosacral ligament uterine suspension compared with vaginal hysterectomy with vaginal vault suspension for uterovaginal prolapse. Int Urogynecol J Pelvic Floor Dysfunct 17(1):79–83PubMedCrossRef
11.
Zurück zum Zitat De Boer T, Milani AL, Kluivers KV, 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 20:1313–1319CrossRef De Boer T, Milani AL, Kluivers KV, 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 20:1313–1319CrossRef
12.
Zurück zum Zitat van Brummen HJ, van de Pol G, Aalders CI, Heintz AP, van der Vaart CH (2003) Sacrospinous hysteropexy compared to vaginal hysterectomy as primary surgical treatment for a descensus uteri: effects on urinary symptoms. Int Urogynecol J Pelvic Floor Dysfunct 14(5):350–355PubMedCrossRef van Brummen HJ, van de Pol G, Aalders CI, Heintz AP, van der Vaart CH (2003) Sacrospinous hysteropexy compared to vaginal hysterectomy as primary surgical treatment for a descensus uteri: effects on urinary symptoms. Int Urogynecol J Pelvic Floor Dysfunct 14(5):350–355PubMedCrossRef
13.
Zurück zum Zitat Dietz V, van der Vaart CH, van der Graaf Y, Heintz P, Schraffordt Koops SE (2010) One-year follow-up after sacrospinous hysteropexy and vaginal hysterectomy for uterine descent: a randomized study. Int Urogynecol J Pelvic Floor Dysfunct 21(2):209–216CrossRef Dietz V, van der Vaart CH, van der Graaf Y, Heintz P, Schraffordt Koops SE (2010) One-year follow-up after sacrospinous hysteropexy and vaginal hysterectomy for uterine descent: a randomized study. Int Urogynecol J Pelvic Floor Dysfunct 21(2):209–216CrossRef
14.
Zurück zum Zitat Beck DE, Allen NL (2010) Rectocele Clin Colon Rectal Surg 23(2):90–98CrossRef Beck DE, Allen NL (2010) Rectocele Clin Colon Rectal Surg 23(2):90–98CrossRef
15.
Zurück zum Zitat Rogalski MJ, Kellogg-Spadt S, Hoffmann AR, Fariello JY, Whitmore KE (2010) Retrospective chart review of vaginal diazepam suppository use in high-tone pelvic floor dysfunction. Int Urogynecol J 21(7):895–899PubMedCrossRef Rogalski MJ, Kellogg-Spadt S, Hoffmann AR, Fariello JY, Whitmore KE (2010) Retrospective chart review of vaginal diazepam suppository use in high-tone pelvic floor dysfunction. Int Urogynecol J 21(7):895–899PubMedCrossRef
16.
Zurück zum Zitat Hove MS, Pool-Goudzwaard A, Eijkemans M, Steegers-Theunissen R, Burger C, Vierhout M (2010) Pelvic floor muscle function in a general population of women with and without pelvic organ prolapse. In Urogynecol J 21(3):311–319CrossRef Hove MS, Pool-Goudzwaard A, Eijkemans M, Steegers-Theunissen R, Burger C, Vierhout M (2010) Pelvic floor muscle function in a general population of women with and without pelvic organ prolapse. In Urogynecol J 21(3):311–319CrossRef
17.
Zurück zum Zitat Braekken IU, Majida M, Ellstrom Engh M, Bo K (2009) Pelvic floor function is independently associated with pelvic organ prolapse. BJOG 116(13):1706–1714PubMedCrossRef Braekken IU, Majida M, Ellstrom Engh M, Bo K (2009) Pelvic floor function is independently associated with pelvic organ prolapse. BJOG 116(13):1706–1714PubMedCrossRef
18.
Zurück zum Zitat Zimmern P, Kobashi K, Lemack G (2010) Outcome measure for stress urinary incontinence treatment (OMIT): results of two society of urodynamics and female urology (SUFU) surveys. Neurourol Urodyn 29((5):715–718CrossRef Zimmern P, Kobashi K, Lemack G (2010) Outcome measure for stress urinary incontinence treatment (OMIT): results of two society of urodynamics and female urology (SUFU) surveys. Neurourol Urodyn 29((5):715–718CrossRef
Metadaten
Titel
Hysteropexy compared to hysterectomy for uterine prolapse surgery: does durability differ?
verfasst von
Lauri J. Romanzi
Renuka Tyagi
Publikationsdatum
01.05.2012
Verlag
Springer-Verlag
Erschienen in
International Urogynecology Journal / Ausgabe 5/2012
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-011-1635-5

Weitere Artikel der Ausgabe 5/2012

International Urogynecology Journal 5/2012 Zur Ausgabe

Update Gynäkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.