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Cesarean section after laparoscopic hysterosacropexy with Richardson's lateral repair and Burch operation-Case report
Paweł Szymanowski1, Wioletta Katarzyna Szepieniec1, Krzysztof Stuwczyński1
1Andrzej Frycz Modrzewski Krakow University, Department of Gynecology and Urogynecology, ul. Kostrzewskiego 47, 30-437 Krakow, Poland.
Introduction:
Pelvic floor disorders are common also in young patient population. Their quality of life is lessened because of their condition, but they would also like to avoid any complicated operations. The minimal invasive procedures and fertility sparing are very important.
Case Presentation:
32 year old caucasian female (BMI: 22,6) was admitted to our clinic in August 2016 with the following symptoms: the feeling of a foreign body in the vagina, prolapse of the bladder and stage II stress urinary incontinence. She had 2 vaginal deliveries. A gynecological examination of the pelvic organ prolapse was classified as follows: prolapse of the uterus POP-Q II, and a cystocele with a lateral defect POP-Q III, after reposition of uterus cystocele POP-Q II, urethrocele, positive cough test. She underwent a laparoscopic hysteropexy with lateral repair and Burch operation. Effect of the operation was satisfied. It revealed an improvement in the QoL-Questionnaire PIFQ-7. Pregnancy in 2018 was delivered by cesarean section. The effect of the prolapse operation was not affected and the quality of life maintained.
Conclusion:
Laparoscopic hysteropexy should be a standard procedure for the repair of a level I defect in young patients, particularly as a fertility sparing procedure.