The Role of Hysterectomy in Genitourinary Prolapse

  • Maurizio Serati
  • Paola Sorice
Part of the Urodynamics, Neurourology and Pelvic Floor Dysfunctions book series (UNPFD)


Currently the role of hysterectomy in the surgical strategy of POP repair remains controversial. This is a topic of discussion in the scientific world, and many studies that would like to make light on the situation are coming out in the next years.


  1. 1.
    Maher C, Baessler K, Barber M, et al. Pelvic organ prolapse surgery. In: Abrams P, Cardozo L, Khoury S, Wein A, editors. 5th International Consultation on Incontinence. Paris: Health Publication Ltd; 2013. p. 1393.Google Scholar
  2. 2.
    Nichols DH. What is new in vaginal surgery? Int Urogynecol J Pelvic Floor Dysfunct. 1996;7:115–6.CrossRefGoogle Scholar
  3. 3.
    Baggish MS. Total and subtotal abdominal hysterectomy. Best Pract Res Clin Obstet Gynaecol. 2005;19:333–56.CrossRefGoogle Scholar
  4. 4.
    Detollenaere RJ, den Boon J, Stekelenburg J, IntHout J, Vierhout ME, Kluivers KB, van Eijndhoven HWF. Sacrospinous hysteropexy versus vaginal hysterectomy with suspension of the uterosacral ligaments in women with uterine prolapse stage 2 or higher: multicentre randomised non-inferiority trial. BMJ. 2015;351:h3717.CrossRefGoogle Scholar
  5. 5.
    Maher CF, Cary MP, Slack MC, Murray CJ, Milligan M, Schluter P. Uterine preservation or hysterectomy at sacrospinous colpopexy for uterovaginal prolapse. Int Urogynecol J Pelvic Floor Dysfunct. 2001;12(6):381–4. (Discussion 4–5. PubMed Epub 2002/01/25.eng).CrossRefGoogle Scholar
  6. 6.
    Barranger E, Fritel X, Pigne A. Abdominal sacrohysteropexy in young women with uterovaginal prolapse: long-term follow-up. Am J Obstet Gynecol. 2003;189:1245–50.CrossRefGoogle Scholar
  7. 7.
    Dietz V, Schraffordt Koops SE, van der Vaart CH. Vaginal surgery for uterine descent; which options do we have? A review of the literature. Int Urogynecol J Pelvic Floor Dysfunct. 2009;20:349–56.CrossRefGoogle Scholar
  8. 8.
    Rhodes JC, Kjerulff KH, Langenberg PW, Guzinski GM. Hysterectomy and sexual functioning. JAMA. 1999;282:1934–41.CrossRefGoogle Scholar
  9. 9.
    Zucchi A, Costantini E, Mearini L, Fioretti F, Bini V, Porena M. Female sexual dysfunction in urogenital prolapse surgery: colposacropexy vs. hysterocolposacropexy. J Sex Med. 2008;5:139–45.CrossRefGoogle Scholar
  10. 10.
    Altman D, Granath F, Cnattingius S, Falconer C. Hysterectomy and risk of stress-urinary-incontinence surgery: nationwide cohort study. Lancet. 2007;370:1494–9.CrossRefGoogle Scholar
  11. 11.
    Miller JJ, Botros SM, Beaumont JL, et al. Impact of hysterectomy on stress urinary incontinence: an identical twin study. Am J Obstet Gynecol. 2008;198(565):e1–4.Google Scholar
  12. 12.
    Collinet P, Belot F, Debodinance P, Ha Duc E, Lucot JP, Cosson M. Transvaginal mesh technique for pelvic organ prolapse repair: mesh exposure management and risk factors. Int Urogynecol J Pelvic Floor Dysfunct. 2006;17:315–20.CrossRefGoogle Scholar
  13. 13.
    Frick AC, Barber MD, Paraiso MF, Ridgeway B, Jelovsek JE, Walters MD. Attitudes toward hysterectomy in women undergoing evaluation for uterovaginal prolapse. Female Pelvic Med Reconstr Surg. 2013;19:103–9.CrossRefGoogle Scholar
  14. 14.
    Korbly NB, Kassis NC, Good MM, et al. Patient preferences for uterine preservation and hysterectomy in women with pelvic organ prolapse. Am J Obstet Gynecol. 2013;209:470.e1–6.CrossRefGoogle Scholar
  15. 15.
    Baden WF, Walker T. Surgical repair of vaginal defects. Philadelphia: Lippincott Williams & Wilkins; 1992.Google Scholar
  16. 16.
    Summers A, Winkel LA, Hussain HK, DeLancey JO. The relationship between anterior and apical compartment support. Am J Obstet Gynecol. 2006;194:1438–43.CrossRefGoogle Scholar
  17. 17.
    Huffaker RK, Kuehl TJ, Muir TW, Yandell PM, Pierce LM, Shull BL. Transverse cystocele repair with uterine preservation using native tissue. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19:1275–81.CrossRefGoogle Scholar
  18. 18.
    Madhu C, Foon R, Agur W, Smith P. Does traction on the cervix under anaesthesia tell us when to perform a concomitant hysterectomy? A 2-year follow-up of a prospective cohort study. Int Urogynecol J Pelvic Floor Dysfunct. 2014;25:1213–7.CrossRefGoogle Scholar
  19. 19.
    Ridgeway BM. Does prolapse equal hysterectomy? The role of uterine conservation in women with uterovaginal prolapse. Am J Obstet Gynecol. 2015;213(6):802–9.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Maurizio Serati
    • 1
  • Paola Sorice
    • 2
  1. 1.Urogynecology Unit, Department of Obstetrics and GynecologyUniversity of InsubriaVareseItaly
  2. 2.Department of Obstetrics and GynecologyFornaroli HospitalMagentaItaly

Personalised recommendations