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Updated: Jan 30, 2026

Author Spotlight: Advancing Pelvic Prolapse Treatment with a Non-Mesh Approach using Laparoscopic Pectopexy
Published on: October 25, 2024
Uterus Preserving Prolapse Repair: How Long does it Last?
Ester Illiano1, Alessandro Zucchi1, Konstantinos Giannitsas2
1Andrology and Urogynecological Clinic, Santa Maria Hospital Terni, University of Perugia, Terni, Italy.
Background:
The preservation of the uterus has an important role in the pelvic organ prolapse (POP) surgery.
Objectives:
The aim of this study is to assess the long-term anatomical and functional outcomes of abdominal hysterosacropexy.
Methods:
Prospective study. A series of women who underwent open abdominal hysterosacropexy for high-stage POP with a minimum 75-month follow-up were included.
Results:
Data on 51 patients were included. Median follow-up was 136.7 months (range 75.8-258 months). Apical prolapse cure rate was 100%. The success rate for anterior and posterior vaginal compartment was 96 and 94% respectively. Urinary and sexual symptoms significantly improved. Ninety-two percentage of the women were "extremely" or "very much improved" with the operation.
Conclusion:
This study confirms that abdominal hysterosacropexy is a good surgical option with durable results for the management of POP in women who wish to preserve their uterus.
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