Sling for correcting uterine prolapse: twelve years experience

Area of Science:

• Gynecology
• Surgical Procedures
• Women's Health

Background:

• Pelvic organ prolapse is a prevalent condition affecting women in Bangladesh.
• Traditional treatments like vaginal hysterectomy or Fothergill's operation are common, but uterine preservation is desired for younger patients.

Purpose of the Study:

• To evaluate the long-term effectiveness and patient satisfaction of uterine suspension surgery for pelvic organ prolapse in young women.
• To assess recurrence rates, pain, and dyspareunia following the procedure.

Main Methods:

• An observational study involving 280 patients with 1st, 2nd, and 3rd-degree uterine prolapse.
• Procedures were conducted across multiple hospitals over 12 years.
• Long-term follow-up included assessments at 6 weeks, 6 months, 1, 5, 10, and 12 years.

Main Results:

• Over 60% of the 280 patients were in the 26-30 year age group.
• At the 12-year follow-up, recurrence of prolapse was reported by only 2 (0.71%) patients.
• Minimal complaints of dragging pain (0.36%) and dyspareunia (0.36%) were noted, with high overall patient satisfaction.

Conclusions:

• Uterine suspension is an effective surgical option for preserving the uterus in young women with pelvic organ prolapse.
• The procedure demonstrates excellent long-term outcomes, high patient satisfaction, and improved quality of life.