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Updated: Jun 28, 2026

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Hysteropexy. A review.

B Ridgeway1, A C Frick, M D Walter

  • 1Obstetrics, Gynecology and Women's Health Institute, Cleveland Clinic, Cleveland, OH 44195, USA. ridgewb@ccf.org

Minerva Ginecologica
|November 5, 2008
PubMed
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This summary is machine-generated.

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Hysteropexy, a surgical uterine preservation technique for uterine prolapse, offers favorable outcomes and improved quality of life. Both vaginal and abdominal approaches demonstrate safety and efficacy, with comparable results to hysterectomy.

Area of Science:

  • Gynecology
  • Urogynecology
  • Pelvic Floor Surgery

Background:

  • Uterine prolapse significantly impacts women's quality of life.
  • Traditional surgical treatment often involves hysterectomy and vaginal vault suspension.
  • Hysteropexy, preserving the uterus, has evolved with various surgical approaches.

Purpose of the Study:

  • To review the current literature on hysteropexy for treating uterovaginal prolapse.
  • To compare the outcomes of different hysteropexy techniques (vaginal, abdominal, laparoscopic).
  • To assess the safety, efficacy, and patient-reported outcomes of hysteropexy.

Main Methods:

  • Review of scientific literature on vaginal, open abdominal, and laparoscopic hysteropexy.
  • Analysis of postoperative outcomes, including cure rates, quality of life, and sexual function.

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  • Comparison of hysteropexy results with traditional hysterectomy and vaginal vault suspension.

    • Main Results:

    • Vaginal sacrospinous hysteropexy shows favorable outcomes (62-100%) with improved quality of life and sexual function.
    • Abdominal or laparoscopic sacrohysteropexy reports high cure rates (91-100%) and enhanced patient well-being.
    • Complications are comparable to vaginal vault suspension, with potentially shorter operative times and less blood loss.

    Conclusions:

    • Hysteropexy, via transvaginal or abdominal routes, is a safe and effective procedure for uterine preservation in prolapse treatment.
    • It offers acceptable results comparable to hysterectomy with vault suspension.
    • Further research is needed on patient selection, long-term durability, and uterine pathology risks.