Abstract
Objective
To observe pregnancy postoperatively and long-term follow-up after uterine-sparing
apical suspension for pelvic organ prolapsed (POP).
Study design
We report 2 patients who delivered newborns after uterine-sparing apical suspension
for pelvic organ prolapse at our center and a literature review on this topic.
Results
The patients’ ages were 26 and 32 years at their respective times of surgery. The
follow-up times were 7 and 8 years. These patients became pregnant at 52 and 46 months
after surgery, and delivered by cesarean section at term. There was no re-prolapse
at follow-ups of 15 and 10 months postpartum. The results were consistent with those
reported in the literature.
Conclusion
Patients with POP who have reproductive requirements can benefit from surgical treatment,
and this benefit is maintained after cesarean section.
Synopsis
Observation of 2 patients who delivered newborns after uterine-sparing apical suspension
for pelvic organ prolapsed at our center and a literature review.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to European Journal of Obstetrics and Gynecology and Reproductive BiologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Effect of pregnancy on uterine-sparing pelvic organ prolapse repair.Int Urogynecol J. 2020; 31: 657-662
- Primary surgery of genital prolapse: a shift in treatment tradition.Acta Obstet Gynecol Scand. 2006; 85: 1104-1108
- Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence.Obstet Gynecol. 1997; 89: 501-506
- Cesarean section after laparoscopic hysterosacropexy with Richardson's lateral repair and Burch operation-Case report.Int J Surgery Case Reports. 2019; 59: 185-189
- Laparoscopic hysteropexy: the initial results of a uterine suspension procedure for uterovaginal prolapse.BJOG. 2010; 117: 62-68
- Laparoscopic suture hysteropexy for uterine prolapse.Obstet Gynecol. 2001; 97: 1010-1014
- Uterine sparing surgical methods in pelvic organ prolapse.Turkish J Obstetrics Gynecol. 2015; 12: 168-172
- The place of sling operations in treating genital prolapse in young women.Int J Gynaecol Obstetrics. 1978; 16: 314-320
- Surgical management of pelvic organ prolapse in women.The Cochrane Database of Systematic Reviews. 2010; : CD004014
- Impact of subsequent pregnancies on pelvic floor functional anatomy.Int Urogynecol J. 2018; 29: 1517-1522
Article info
Publication history
Published online: November 09, 2022
Accepted:
October 30,
2022
Received in revised form:
September 14,
2022
Received:
January 31,
2022
Identification
Copyright
© 2022 Published by Elsevier B.V.
