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Laparoscopic uterine suspension for pain relief: a multicenter study
C Paul Perry1, James Presthus, Alfredo Nieves
1C Paul Perry Pelvic Pain Center, OB/GYN South, PC, Birmingham, Alabama 35209, USA. cpperry@aol.com
The Journal of Reproductive Medicine
|October 14, 2005
Summary
Laparoscopic positioning by ligament investment, fixation and truncation (UPLIFT) significantly reduced chronic pelvic pain, dysmenorrhea, and dyspareunia in women with a retroverted uterus. This minimally invasive procedure offered long-term pain relief with no postoperative complications.
Area of Science:
- Gynecology
- Minimally Invasive Surgery
- Pelvic Pain Management
Background:
- Symptomatic retroverted uterus is associated with chronic pelvic pain, dysmenorrhea, and dyspareunia.
- Effective treatment options for pain associated with a retroverted uterus are needed.
Purpose of the Study:
- To evaluate the efficacy of the UPLIFT procedure in alleviating pain.
- To determine the duration of pain relief following UPLIFT.
- To assess operative and postoperative complications of UPLIFT.
Main Methods:
- Prospective cohort study of 62 women with symptomatic retroverted uterus.
- Pain scores (pelvic pain, dysmenorrhea, dyspareunia) assessed preoperatively and at 4 weeks, 3, 6, and 12 months postoperatively.
- Average follow-up of 10.2 months.
Main Results:
- Significant reduction in mean pelvic pain scores from 7.3 to 3.7 at 12 months (p < 0.0001).
- Significant reduction in dysmenorrhea (7.8 to 4.4) and dyspareunia (8.0 to 3.3) scores (p < 0.0001).
- No postoperative complications; 5 minor intraoperative adverse events.
Conclusions:
- UPLIFT is an effective surgical intervention for symptomatic retroverted uterus.
- The procedure provides significant and long-term pain reduction.
- UPLIFT is a safe procedure with minimal complications.