Laparoscopic uterine suspension using three-stitch technique

Gargiulo, T; Leo, Livio; Gomel, Victor

doi:10.1016/s1074-3804(00)80046-8

Cited by 15 publications

(6 citation statements)

References 2 publications

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“…The success rate, as reported in the current study, is similar to the success rate reported by Yoong [7], varying from 18.6 to 46.5%. It is well established that there is a decline in patients' symptomatic improvement with time [7,10,11], therefore, it is quite acceptable to observe higher success rates at the first 2 years following the ventrosuspension [7,12]. According to Renaer's suggestion [13], patients undergoing uterine ventrosuspension should be followed up over a period of 1-2 years in order to observe a true success rate.…”

Section: Discussionmentioning

confidence: 99%

Long-Term Follow-Up (5–20 Years) after Uterine Ventrosuspension for Chronic Pelvic Pain and Deep Dyspareunia

Halperin¹,

Padoa²,

Schneider³

et al. 2003

Gynecol Obstet Invest

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Objective: To examine the long-term outcome of patients undergoing uterine ventrosuspension for chronic pelvic pain and deep dyspareunia. Methods: Eighty-two patients, presenting with retroverted uterus, pelvic pain and deep dyspareunia, underwent uterine ventrosuspension by laparotomy or laparoscopy during the period from 1981 to 1996. Only patients (56) with no pelvic pathologic condition, as identified intraoperatively, participated in the study. At the beginning of the year 2002, 41 out of 56 patients (73.2%) were attained by telephonic questionnaire, and they were asked to refer to the uterine ventrosuspension procedure. Results: Patients’ average age was 32.3 years, and the mean duration of preoperative symptoms was 3 years. The mean follow-up period was 12 (range 5–20) years. The initial improvement in preoperative symptoms was observed in 70.7% of patients, whereas the final improvement was observed in 46.3% of patients, with no significant difference comparing the approach of laparotomy versus laparoscopy. Hysterectomy after uterine suspension was performed in 12.1% of patients (4.3% after laparotomy and 22.2% after laparoscopy). Twenty-three patients (56.1%) would recommend this operative procedure to others. Conclusion: The long-term outcome of patients undergoing uterine ventrosuspesnion approximates to 50% success rate, with no significant difference comparing the approach of laparotomy versus laparoscopy.

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Section: Discussionmentioning

confidence: 99%

Long-Term Follow-Up (5–20 Years) after Uterine Ventrosuspension for Chronic Pelvic Pain and Deep Dyspareunia

Halperin¹,

Padoa²,

Schneider³

et al. 2003

Gynecol Obstet Invest

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“…An additional two articles, referred to by papers identified by the search strategy but published prior to 1966, and otherwise pertinent and significant, were included. Papers addressing obliterative procedures (such as colpocleisis), or procedures for indications other than prolapse (such as pelvic pain [10,11,12,13,14,15,16,17], endometriosis [18,19] or symptomatic uterine retroversion [20,21,22,23,24]) were not included. Papers primarily addressing procedures for the correction of forms of pelvic organ prolapse other than uterovaginal prolapse (i.e.…”

Section: Introductionmentioning

confidence: 99%

Uterine preservation during surgery for uterovaginal prolapse: a review

Diwan

Rardin

Kohli

2003

International Urogynecology Journal and Pelvic Floor Dysfunctio

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The traditional surgical treatment for uterovaginal prolapse has been vaginal hysterectomy. For many reasons, women may request uterine preservation at the time of prolapse surgery. The purpose of this paper is to review the medical literature pertaining to the role of uterine preservation during reconstructive surgery for uterovaginal prolapse. A MEDLINE search of literature in the English language (1966 to current) was carried out using the keywords 'hysterectomy', 'hysteropexy', 'uterine preservation', 'uterine suspension' and 'uterovaginal prolapse.' Fourteen articles primarily addressing the surgical repair of uterovaginal prolapse with uterine preservation were included in this review. Papers primarily addressing other forms of pelvic organ prolapse, incontinence or obliterative procedures were excluded. Existing procedures and their clinical outcomes were reviewed. The current literature suggests that uterine preservation during surgery for uterovaginal prolapse may be an option in appropriately selected women who desire it; prospective, randomized trials are needed to corroborate this.

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“…Thus, they can be considered preliminary but need to be obtained in other setting and by other investigators. The early recognition of a risky angle of flexion may allow for the utilization of preventive measures, either medical, by reducing the number and intensity of menstruations, or surgical, by trying to change the angle of uterine flexion [ 19 , 20 , 21 ].…”

Section: Discussionmentioning

confidence: 99%

Angle of Uterine Flexion and Adenomyosis

Xholli

Scovazzi

Londero³

et al. 2022

JCM

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The aim of this study was to assess the prevalence of adenomyosis in symptomatic women in relation to the angle of flexion of the uterus. A total of 120 patients referring to our Chronic Pelvic Pain Center were prospectively enrolled. Each woman scored menstrual pain, intermenstrual pain, and dyspareunia on a 10 cm visual analogue scale and underwent a clinical examination and transvaginal ultrasound. MUSA criteria were used for the diagnosis of adenomyosis. The angle of flexion of the uterus on the cervix was categorized as <150° (75% of cases), between 150° and 210° (6.7% of cases) and >210° (18.3% of cases). Adenomyosis was diagnosed in 76/120 women (63.3%). In women with adenomyosis, the VAS of intermenstrual pain was higher than in women without adenomyosis (4.04 ± 3.79 vs. 2.57 ± 3.34; p < 0.034). The angle of uterine flexion >210° was more prevalent in women with than without adenomyosis (25.0% vs. 6.8%; p < 0.015). The odds ratio of suffering from adenomyosis markedly increased in the presence of an angle of uterine flexion >210° (OR 5.8 95% CI 1.19, 28.3; p > 0.029). The data indicate that the ultrasound-estimated angle of uterine flexion >210° is related to a higher prevalence of adenomyosis.

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Laparoscopic uterine suspension using three-stitch technique

Cited by 15 publications

References 2 publications

Long-Term Follow-Up (5–20 Years) after Uterine Ventrosuspension for Chronic Pelvic Pain and Deep Dyspareunia

Long-Term Follow-Up (5–20 Years) after Uterine Ventrosuspension for Chronic Pelvic Pain and Deep Dyspareunia

Uterine preservation during surgery for uterovaginal prolapse: a review

Angle of Uterine Flexion and Adenomyosis

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