Hysterectomy; Is it essential for the correction of uterine prolapse?.
- Author:
Ka Young AHN
1
;
Jae Shik HONG
;
Na Young KIM
;
Hyun Joo LEE
;
Hee Jung LEE
;
Noh Mi CHOI
;
Ho Seup HAN
;
Suk Joo SUNG
;
Joo Myung KIM
;
Kwan Young JOO
;
Kyu Hong CHOI
Author Information
1. Department of Obstetrics and Gynecology, Cheil General Hospital and Women's Healthcare Center, Sungkyunkwan University, School of Medicine, Seoul, Korea. dr66205@freechal.com
- Publication Type:Original Article
- Keywords:
Uterine prolapse;
Sacrospinous colpopexy;
Hysterectomy
- MeSH:
Catheters;
Female;
Humans;
Hysterectomy*;
Inpatients;
Ligaments;
Pelvic Organ Prolapse;
Retrospective Studies;
Uterine Prolapse*
- From:Korean Journal of Obstetrics and Gynecology
2006;49(6):1313-1319
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: The aim of this study was to compare the efficacy of sacrospinous colpopexy without hysterectomy and with hysterectomy for symptomatic uterine prolapse. METHODS: A retrospective chart review was performed in the women who underwent sacrospinous ligament suspension between March 1998 and March 2002. A hundred fifty five women with a symptomatic uterine prolapse were treated with either sacrospinous colpopexy without hysterectomy and/or anterior-posterior repair (83 cases=Group A) or sacrospinous colpopexy with hysterectomy and/or anterior-posterior repair (72 cases=Group B). RESULTS: The mean duration of surgery, hemoglobin change, catheter days and inpatient days were shorter in group A compared with group B. (Group A 102.5+/-33.4 min, 2.4+/-0.7 mg/dL, 5.2+/-1.4 days, 7.6+/-2.2 days vs. Group B 135.3+/-33.9 min, 2.9+/-0.8 mg/dL, 6.1+/-2.1 days, 9.4+/-3.7 days, p<0.05 respectively) Recurrent pelvic organ prolapse developed in 14.5% in group A and 12.5% in group B. Six patients (7.2%) in group A and 5 patients (6.9%) in group B required repeat operation for recurrent pelvic organ prolapse. CONCLUSIONS: Sacrospinous colpopexy without hysterectomy and with hysterectomy are equally effective surgical operation for uterine prolapse. This study shows that hysterectomy is not essential for the correction of uterine prolapse.
