Abdominal Sacrohysteropexy in Young Women with Uterovaginal Prolapse

Abstract

Objective: To study the results of sacrohysteropexy with Prolene Mesh for treatment of uterovaginal prolapse in women who desire to preserve their uterus. Study Design: Prospective observational study. Place and duration of study: This study was carried out in Allied Hospital, Faisalabad over a period of one year from April 2010 to April 2011. Methods: 12 women with uterovaginal prolapse wishing to retain their uterus underwent Sacrohysteropexy with Prolene Mesh attached to uterine isthmus and to the anterior longitudinal ligament of the first or second sacral vertebra in a tension free fashion. Subjective and objective cure of uterine prolapse and operative and postoperative complications were noted. Results: 12 patients underwent Sacrohysteropexy for uterovaginal prolapse during this study period. The mean age of patient was 30 years (range 16-40 years). Ten (83.3%) were multipara while two (16.7%) were nullipara. All women had second degree uterovaginal prolapse. The mean follow up period was 12 months. No women developed intra and postoperative complications. No single case of mesh erosion was detected success rate was 83.3%. Recurrent prolapse was recorded in 2 (16.7%) women which was symptomatic and required repeat surgical treatment. Conclusion: Sacrohysteropexy is effective and safe procedure in women with uterovaginal prolapse who want to preserve their uteri.