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Five-year outcome of uterus sparing surgery for pelvic organ prolapse repair: a single-center experience

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Abstract

Introduction and hypothesis

The study aims to report an extended follow-up of our case series of sacrohysteropexy for pelvic organ prolapse (POP).

Methods

Fifty-five patients with symptomatic POP underwent uterus sparing surgery. All patients were followed up for 1, 3, 6 and 12 months and then annually. Objective success was defined as a well-supported cervix and no vaginal prolapse stage ≥ 2. Subjective success was no prolapse-related symptoms or voiding disorder.

Results

The mean follow-up was 60 ± 34 months. Anterior compartment prolapse (cystocele) stage ≥ 2 was present in four out of 52 patients (7.7%), while posterior compartment prolapse (rectocele) stage ≥ 2 was present in three (5.7%). Voiding symptoms were resolved in 42 out of 45 patients (93.4%) and storage symptoms in 30 out of 36 (83.3%); one patient reported de novo urgency. Sexual activity was maintained in 28 out of 29 patients (95.5%). Four patients showed de novo stress urinary incontinence.

Conclusion

Our findings support the use of uterus preservation, with significative objective and subjective outcomes in treating POP.

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Acknowledgment

Geraldine Boyd revised the linguistic style of the paper.

Conflicts of interest

None.

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Authors and Affiliations

  1. Section of Urology and Andrology, Department of Medical–Surgical Specialties and Public Health, University of Perugia, Perugia, Italy

    Elisabetta Costantini, Massimo Lazzeri, Alessandro Zucchi, Luigi Mearini & Massimo Porena

  2. Department of Internal Medicine, University of Perugia, Perugia, Italy

    Vittorio Bini

  3. Urology and Andrology Section, Department of Medical–Surgical Specialties and Public Health, Ospedale S. Maria della Misericordia, University of Perugia, Loc. S. Andrea delle Fratte, Perugia, 06100, Italy

    Massimo Lazzeri

Authors
  1. Elisabetta Costantini
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  2. Massimo Lazzeri
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  3. Alessandro Zucchi
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  4. Vittorio Bini
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  5. Luigi Mearini
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  6. Massimo Porena
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Corresponding author

Correspondence to Massimo Lazzeri.

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Costantini, E., Lazzeri, M., Zucchi, A. et al. Five-year outcome of uterus sparing surgery for pelvic organ prolapse repair: a single-center experience. Int Urogynecol J 22, 287–292 (2011). https://doi.org/10.1007/s00192-010-1342-7

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  • DOI: https://doi.org/10.1007/s00192-010-1342-7

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