Transvaginal uterosacral ligament hysteropexy: a retrospective feasibility study

• DOI: 10.1007/s00192-016-3036-2
• Publication Date: 2016-05-19T22:25:45Z
• Authors: Rodolfo Milani; Matteo Frigerio; Stefano Manodoro; Alice Cola; Federico Spelzini
• Keywords: Adult; Natural Orifice Endoscopic Surgery; Sacrum; Ligaments; Uterus; Fertility Preservation; Middle Aged; 3. Good health; 03 medical and health sciences; Gynecologic Surgical Procedures; Treatment Outcome; 0302 clinical medicine; Uterine Prolapse; Vagina; Feasibility Studies; Humans; Female; Laparoscopy; Organ Sparing Treatments; Follow-Up Studies; Retrospective Studies

Uterine-sparing procedures could be attractive in patients concerned about preservation of fertility and change in corporeal image and sexuality. Transvaginal uterosacral hysteropexy can provide an alternative mesh-free technique for uterine suspension. This study aimed to evaluate the feasibility of transvaginal uterine suspension to uterosacral ligaments in terms of operative data, complications, midterm efficacy, and patient satisfaction.This retrospective study analyzed the first 20 cases of transvaginal hysteropexy through bilateral high uterosacral ligaments (modified Shull technique) performed in our Institution.Mean follow-up was 33.2 months. The procedure was performed in 84 ± 19 min ,and blood loss was 228 ± 139 ml. Three mild complications (15 %) were observed. Recurrence [Pelvic Organ Prolapse Quantification system (POP-Q) stage ≥ II was observed in five patients (25 %), and three of them (15 %) required reintervention. Mean Patient Global Impression of Improvement score was "much improved." Two woman (40 %) who had not fulfilled their childbearing desire obtained a pregnancy. Both underwent elective caesarean section at term.Transvaginal uterosacral hysteropexy appears a feasible mesh-free technique for apical support. This procedure can be indicated in women with the desire of preserving fertility or who prefer a uterine-sparing surgical option.