Should we perform subtotal hysterectomy associated with sacral colpopexy for genital prolapse to prevent the risk of endometrial cancer?
| Autor: | X. Deffieux, A. Lacorre, T. Gauthier, Guillaume Legendre, Cyril Touboul, François Golfier, C. Sallee |
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| Rok vydání: | 2021 |
| Předmět: |
Sacrum
medicine.medical_specialty Urology medicine.medical_treatment Population 030232 urology & nephrology Context (language use) Hysterectomy Pelvic Organ Prolapse 03 medical and health sciences 0302 clinical medicine Risk Factors medicine Humans Laparoscopy education Gynecology education.field_of_study medicine.diagnostic_test business.industry Endometrial cancer Prophylactic Surgical Procedures medicine.disease Occult Endometrial Neoplasms Concomitant Vagina Female business Body mass index |
| Zdroj: | Progrès en Urologie. 31:439-443 |
| ISSN: | 1166-7087 |
| DOI: | 10.1016/j.purol.2021.03.006 |
| Popis: | OBJECTIVE In a menopausal woman scheduled for curative surgery for pelvic organ prolapse (POP) by sacral colpopexy (SC), the question of concomitant hysterectomy is frequently considered by the surgeon. The risk of endometrial cancer (EC) exists in this population, and increases with age and body mass index. The French college of gynecologists and obstetricians (CNGOF) decided to issue good practice guidelines on subtotal hysterectomy (SH) for postmenopausal women scheduled for SC for POP. METHODS The CNGOF has decided to adopt the AGREE II and GRADE systems for grading scientific evidence. Each recommendation for practice was allocated a grade, which depends on the quality of evidence (QE) (clinical practice guidelines). RESULTS The prevalence of occult endometrial cancer (EC) found on pathological analysis after SH in this context (concomitant SH associated with SC) is low ( |
| Databáze: | OpenAIRE |
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