Anterior abdominal wall cervicopexy for treatment of stage III and stage IV uterine prolapse

作者：Salem Hosam T; Tawfik Reda M; El Saman Ali M^*; Nasr Ahmed

来源：International Journal of Gynecology & Obstetrics, 2010, 110(2): 130-132.

DOI：10.1016/j.ijgo.2010.03.025

• Anterior abdominal wall uterine suspension
• Cervicopexy
• Hysteropexy
• Uterine prolapse

Objective: To study the operative and postoperative outcomes of anterior abdominal wall cervicopexy (AWC) for treatment of stage III and stage IV uterine prolapse. Methods: AWC was performed by anchoring the supravaginal cervix to the anterior abdominal wall. This was done following obliteration of the pouch of Douglas via laparotomy. Results: Among 37 patients, AWC was performed in 21 women with stage ill and 16 women with stage IV uterine prolapse. Overcorrection was observed in 3 women. Postoperatively, 2 women experienced febrile morbidity and 5 had urinary retention. Thirteen women complained of urinary frequency, but all reported improvement at 3-month follow up. Among 24 women who became pregnant, 14 delivered vaginally, 5 delivered by cesarean, and 5 had an ongoing pregnancy. Four recurrences occurred: 2 stage II and 2 stage III prolapses. Three of these women had delivered by cesarean, while the fourth recurrence occurred after the patient's third vaginal birth. Conclusions: AWC is a simple and effective procedure to treat stage III and stage IV uterine prolapse. However, some surgical modifications and more studies are required to ascertain its validity.

• 出版日期2010-8