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Updated: Aug 6, 2026
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Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse
Published on: October 25, 2024
Pregnancy After Uterine-Preserving Prolapse Surgery: Obstetric Outcomes and Prolapse Recurrence Following Native
Rhianna Bhatia1, Avni Ahuja2, Moiuri Siddique2
1Department of Obstetrics and Gynecology, Hackensack University Medical Center, Hackensack Meridian Health Network, Hackensack, NJ, USA. rhianna.bhatia@hmhn.org.
International Urogynecology Journal
|July 17, 2026
Summary
Uterine-sparing surgery for pelvic organ prolapse (POP) allows for favorable pregnancy outcomes and low recurrence rates. Cesarean delivery is common, but neonatal complications are rare, indicating safety for future pregnancies.
Area of Science:
- Urogynecology
- Obstetrics
- Surgical Innovation
Background:
- Pelvic organ prolapse (POP) management often involves surgical intervention.
- Uterine-sparing surgical techniques aim to preserve fertility and future pregnancy options.
- Evaluating obstetric outcomes and prolapse recurrence after these procedures is crucial.
Purpose of the Study:
- To synthesize current literature on uterine-sparing POP surgery.
- To assess subsequent obstetric outcomes in patients who conceived after POP surgery.
- To determine the recurrence rates of POP following uterine-sparing procedures.
Main Methods:
- A systematic literature review was performed using MEDLINE and PubMed.
- Studies published between 1993 and 2025 were included, adhering to PRISMA guidelines.
- Data from 18 studies involving 126 pregnancies post-POP surgery were analyzed.
Main Results:
- Most deliveries (94.8%) occurred at term, with cesarean delivery in 65.8% of cases.
- No neonatal complications were reported.
- Overall POP recurrence was 11.7%, higher after native tissue repair compared to mesh-augmented procedures.
Conclusions:
- Uterine-sparing POP surgery, including mesh and native tissue repairs, is linked to positive obstetric outcomes and low neonatal risk.
- POP recurrence rates are generally low, particularly with mesh augmentation.
- Limited longitudinal data and lack of RCTs necessitate further research.
