Pregnancy after laparoscopic hysteropexy: Is there a prolapse recurrence?

Area of Science:

• Reproductive medicine
• Minimally invasive gynecological surgery

Background:

• Laparoscopic hysteropexy is indicated for pelvic organ prolapse in women desiring future fertility.
• Pregnancy following this surgery is uncommon as patients typically complete childbearing before surgical intervention.
• Standard techniques often involve uterine artery manipulation, raising concerns about uterine blood flow.

Observation:

• A novel laparoscopic hysteropexy technique utilizes anterior and posterior polypropylene meshes attached to and through the cervix.
• This method avoids encircling the cervix, preserving uterine artery blood flow.
• A patient with this procedure later experienced pregnancy complicated by gestational diabetes and breech presentation.

Findings:

• The patient underwent a successful cesarean section for delivery of a healthy infant.
• Postpartum follow-up at 10 months revealed no recurrence of pelvic organ prolapse.
• This demonstrates the feasibility of pregnancy after this specific laparoscopic hysteropexy technique.

Implications:

• This surgical approach may offer a viable option for fertility-sparing management of pelvic organ prolapse.
• Further research is warranted to evaluate the long-term safety and efficacy of this technique in subsequent pregnancies.
• It expands reproductive possibilities for women with pelvic organ prolapse.