Uterus Preserving Prolapse Repair: How Long does it Last?

Area of Science:

• Urogynecology
• Pelvic Floor Surgery
• Reconstructive Pelvic Surgery

Background:

• Uterus preservation is a key consideration in pelvic organ prolapse (POP) surgery.
• Abdominal hysterosacropexy is a surgical option for women with POP who wish to retain their uterus.

Purpose of the Study:

• To evaluate the long-term anatomical and functional outcomes of abdominal hysterosacropexy for high-stage POP.
• To assess the durability and efficacy of uterine preservation in POP management.

Main Methods:

• Prospective study including 51 women with high-stage POP.
• Surgical procedure: open abdominal hysterosacropexy.
• Minimum follow-up of 75 months, with a median of 136.7 months.

Main Results:

• 100% cure rate for apical prolapse.
• 96% success for anterior and 94% for posterior vaginal compartment prolapse.
• Significant improvement in urinary and sexual function, with 92% of patients reporting substantial improvement.

Conclusions:

• Abdominal hysterosacropexy provides durable and effective results for managing high-stage POP.
• It is a suitable surgical option for women desiring uterine preservation.
• The procedure leads to significant anatomical restoration and functional recovery.