Modified cervicopexy: a novel, less-invasive technique for Stages III and IV uterine prolapse.

Faculty of Medicine

Assiut University

Modified cervicopexy: a novel, less-invasive technique for Stages III and IV uterine prolapse.

Research Authors
Elsaman AM1, Salem HT1, Amin M2, Fetih AN3, Othman EE1, Zahran KM1.
Research Department
Department of Obstetrics and Gynecology
Research Journal
Eur J Obstet Gynecol Reprod Biol.
Research Member
Hosam Thabet Salem ElHussaini
Research Publisher
2014 Dec;183:159-63. doi: 10.1016/j.ejogrb.2014.10.014. Epub 2014 Oct 23.
Research Rank
1
Research Vol
2014 Dec;183:159-63. doi: 10.1016/j.ejogrb.2014.10.014. Epub 2014 Oct 23.
Research Website
PMID: 25461371 [PubMed - in process]
Research Year
2014
Research_Pages
2014 Dec;183:159-63. doi: 10.1016/j.ejogrb.2014.10.014.
Research Abstract

Abstract
OBJECTIVE:

To evaluate modified anterior abdominal wall cervicopexy (AWC) as a less invasive (via 3-cm minilaparotomy) and more augmented (via securing posterior vaginal wall to uterosacral ligaments) technique.
METHODS:

Case series of 30 women with Stages III and IV apical uterine prolapse assessed by the pelvic organ prolapse quantification system.
RESULTS:

The modified AWC procedure was performed successfully for 17 cases with Stage III uterovaginal prolapse and 13 cases with Stage IV uterovaginal prolapse. The procedure was conducted safely with no operative or postoperative complications, apart from two cases with postoperative urinary retention. Operative time ranged from 45 to 70min. Follow-up was available for 1-3 years. Overall, 27 cases were satisfied with the procedure, and three cases developed recurrence after caesarean section due to cutting the supporting sutures.
CONCLUSIONS:

The modified AWC procedure is less invasive, simple and effective for Stages III and IV uterine prolapse.

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