Review articleAbdominal sacrohysteropexy in young women with uterovaginal prolapse: long-term follow-up
Section snippets
Material and methods
Between June 1987 and July 1999, 30 consecutive women of childbearing age with grade 2 (n = 13 women) or grade 3 (n = 17 women) uterovaginal prolapse who wanted uterine preservation were enrolled in the study. Before abdominal sacrohysteropexy, each patient was assessed by questionnaire, physical examination, and urodynamic study.
Subjective assessment was based on symptoms of uterovaginal prolapse that included pelvic pressure, bulging and a falling-out sensation, followed by constipation,
Results
The mean age of the 30 patients was 35.7 years (range, 29–43 years); the mean parity was 2.3 (range, 1–5), and the mean body mass index was 21.9 kg/m2 (range, 17.7–28 kg/m2). All patients were healthy and active. All patients wished to conserve the uterus because it was an integral part of themselves and to preserve their fertility. All patients had been delivered of at least one child. The other demographic characteristics of the patients who underwent abdominal sacrohysteropexy are shown in
Comment
The surgical treatment of uterovaginal prolapse in young women consists of correcting the prolapse with the most long-lasting results, which allows normal sexual function and preserves childbearing function. In young women, three main approaches have been advocated for the treatment of uterovaginal prolapse: a Manchester procedure, transvaginal sacrospinous fixation, or an abdominal suspension (by laparotomy or laparoscopy).
We report long-term efficiency in women of childbearing age with
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