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The Rise and Fall of Uterine Interposition Surgery.

Mark Vierhout¹

¹Emeritus in General Gynaecology, Buitenbassinweg 603, 3063 TL, Rotterdam, The Netherlands. vierhoutmark@gmail.com.

International Urogynecology Journal

|July 23, 2025

Summary

Uterine interposition surgery, a historical method for pelvic organ prolapse, involved repositioning the uterus to support the bladder. This technique, popular in the early 20th century, is demonstrated in a 1928 surgical video.

Keywords:

Interposition Pelvic Organ Prolapse Surgery Uterus

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Area of Science:

Gynecology
Surgical History

Background:

Pelvic organ prolapse (POP) is a common condition affecting women's quality of life.
Uterine interposition, first described in 1899, was a surgical approach to correct POP.

Purpose of the Study:

To illustrate the historical technique of uterine interposition surgery.
To document a specific instance of this procedure performed in 1928.

Main Methods:

A vaginal approach was used to dissect the bladder and mobilize the uterus.
The uterus was rotated 180 degrees, with the fundus positioned caudally and secured with sutures.
This created an anatomical barrier to support the bladder and prevent prolapse.

Main Results:

Uterine interposition gained significant popularity in the first half of the 20th century.
Numerous case series reported favorable outcomes for this procedure.
The technique largely disappeared from medical literature after 1965.

Conclusions:

The video provides a visual record of uterine interposition as performed by Professor van Bouwdijk Bastiaanse.
This historical footage offers insights into surgical practices for pelvic organ prolapse from a bygone era.