Uterus Preserving Prolapse Repair: How Long does it Last?
Autor: | Konstantinos Giannitsas, Elisabetta Costantini, Antonio Carbone, Antonio Luigi Pastore, Alessandro Zucchi, Ester Illiano |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
Adult
medicine.medical_specialty Adolescent Urology Urinary system 030232 urology & nephrology Uterus Pelvic Organ Prolapse 03 medical and health sciences Young Adult 0302 clinical medicine Gynecologic Surgical Procedures Uterine Prolapse medicine Long term Humans Organ Sparing Treatments Postoperative Period Prospective Studies Young adult Abdominal hysterosacropexy Anatomic outcomes Functional outcomes Pelvic organ prolapse Aged Female Follow-Up Studies Middle Aged Preoperative Period Vagina Prospective cohort study business.industry Prolapse repair Uterine prolapse medicine.disease Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis business |
Popis: | Background: The preservation of the uterus has an important role in the pelvic organ prolapse (POP) surgery. Objectives: The aim of this study is to assess the long-term anatomical and functional outcomes of abdominal hysterosacropexy. Methods: Prospective study. A series of women who underwent open abdominal hysterosacropexy for high-stage POP with a minimum 75-month follow-up were included. Results: Data on 51 patients were included. Median follow-up was 136.7 months (range 75.8–258 months). Apical prolapse cure rate was 100%. The success rate for anterior and posterior vaginal compartment was 96 and 94% respectively. Urinary and sexual symptoms significantly improved. Ninety-two percentage of the women were “extremely” or “very much improved” with the operation. Conclusion: This study confirms that abdominal hysterosacropexy is a good surgical option with durable results for the management of POP in women who wish to preserve their uterus. |
Databáze: | OpenAIRE |
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