Introduction and hypothesis The study aims to report an extended follow-up of our case series of sacrohysteropexy for pelvic organ prolapse (POP). Methods Fifty-five patients with symptomatic POP underwent uterus sparing surgery. All patients were followed up for 1, 3, 6 and 12 months and then annually. Objective success was defined as a well-supported cervix and no vaginal prolapse stage≥2. Subjective success was no prolapse-related symptoms or voiding disorder. Results The mean follow-up was 60±34 months. Anterior compartment prolapse (cystocele) stage≥2 was present in four out of 52 patients (7.7%), while posterior compartment prolapse (rectocele) stage≥2 was present in three (5.7%). Voiding symptoms were resolved in 42 out of 45 patients (93.4%) and storage symptoms in 30 out of 36 (83.3%); one patient reported de novo urgency. Sexual activity was maintained in 28 out of 29 patients (95.5%). Four patients showed de novo stress urinary incontinence. Conclusion Our findings support the use of uterus preservation, with significative objective and subjective outcomes in treating POP.
Five-year outcome of uterus sparing surgery for pelvic organ prolapse repair: a single-center experience
COSTANTINI, Elisabetta;LAZZERI, MASSIMO;ZUCCHI, ALESSANDRO;BINI, Vittorio;MEARINI, Luigi;PORENA, Massimo
2011
Abstract
Introduction and hypothesis The study aims to report an extended follow-up of our case series of sacrohysteropexy for pelvic organ prolapse (POP). Methods Fifty-five patients with symptomatic POP underwent uterus sparing surgery. All patients were followed up for 1, 3, 6 and 12 months and then annually. Objective success was defined as a well-supported cervix and no vaginal prolapse stage≥2. Subjective success was no prolapse-related symptoms or voiding disorder. Results The mean follow-up was 60±34 months. Anterior compartment prolapse (cystocele) stage≥2 was present in four out of 52 patients (7.7%), while posterior compartment prolapse (rectocele) stage≥2 was present in three (5.7%). Voiding symptoms were resolved in 42 out of 45 patients (93.4%) and storage symptoms in 30 out of 36 (83.3%); one patient reported de novo urgency. Sexual activity was maintained in 28 out of 29 patients (95.5%). Four patients showed de novo stress urinary incontinence. Conclusion Our findings support the use of uterus preservation, with significative objective and subjective outcomes in treating POP.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
