TY - JOUR
T1 - Five-year outcome of uterus sparing surgery for pelvic organ prolapse repair
T2 - A single-center experience
AU - Costantini, Elisabetta
AU - Lazzeri, Massimo
AU - Zucchi, Alessandro
AU - Bini, Vittorio
AU - Mearini, Luigi
AU - Porena, Massimo
PY - 2011/3
Y1 - 2011/3
N2 - 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.
AB - 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.
KW - Complications
KW - Outcome
KW - Pelvic organ prolapse
KW - Surgery
KW - Uterus preservation
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U2 - 10.1007/s00192-010-1342-7
DO - 10.1007/s00192-010-1342-7
M3 - Article
C2 - 21152903
AN - SCOPUS:79951643571
VL - 22
SP - 287
EP - 292
JO - International Urogynecology Journal and Pelvic Floor Dysfunction
JF - International Urogynecology Journal and Pelvic Floor Dysfunction
SN - 0937-3462
IS - 3
ER -