Five-year outcome of uterus sparing surgery for pelvic organ prolapse repair: a single-center experience
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- Costantini, E., Lazzeri, M., Zucchi, A. et al. Int Urogynecol J (2011) 22: 287. doi:10.1007/s00192-010-1342-7
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Introduction and hypothesis
The study aims to report an extended follow-up of our case series of sacrohysteropexy for pelvic organ prolapse (POP).
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.
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.
Our findings support the use of uterus preservation, with significative objective and subjective outcomes in treating POP.