Surgical management of uterine prolapse by sacrohysteropexy: a case series

Authors

  • Manas R. Moharana Department of Obstetrics and Gynecology, Raipur Institute of Medical Sciences, Raipur, Chhattisgarh, India
  • Banishree Pati Department of Obstetrics and Gynecology, Raipur Institute of Medical Sciences, Raipur, Chhattisgarh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20252926

Keywords:

Uterine prolapse, Abdominal sacrocolpopexy, 15-49 years age females, Fertility preservation

Abstract

Abdominal sacrohysteropexy is a transabdominal procedure where the prolapsed uterus is suspended from the sacral promontory by the use of mesh to restore the normal anatomical position. The purpose of our study was to assess the safety of sacrohysteropexy surgery by determining intraoperative and post-operative complications and its effectiveness in management of UV prolapse by pelvic organ prolapse recurrence on follow up. A rospective study was carried out in the department of gynaecology and obstetrics, RIMS medical college, Raipur, Chhattisgarh from January 2023 to December 2023. Eight young patients <40 years of age with 2nd degree or more uterovaginal prolapse, admitted through OPD were selected for abdominal sacrohysteropexy with polypropelene mesh. Variables of study including duration of surgery, any intra-operative and post operative complications, need of intra operative blood transfusion, post operative hospital stay; recurrence of POP in 06 months follow up were recorded. In these 8 patients, mean age was 33.5 years. All were married with parity 2 or more and all of them had only vaginal deliveries and had 3rd degree pelvic organ prolapse (POP). Duration of surgery was around 90 mins. In our cases intra operative blood loss was around 250 ml. Post operatively no case developed any complications and all were discharged on 5th post operative day. No recurrence was noticed in 06 months follow up. Abdominal sacrohysteropexy is a safe and an effective surgical treatment in terms of overall anatomical and functional outcome, intraoperative and postoperative complications, post operative recovery and length of hospital stay in women who desire uterine and hence fertility preservation.

Metrics

Metrics Loading ...

References

Maher C, Feiner B, Baessler K, Glazener CMA. Surgical management of pelvic organ prolapse in women. Cochrane Database of Systematic Rev. 2010;(4):CD004014. DOI: https://doi.org/10.1002/14651858.CD004014.pub4

Swift S, Woodman P, O’Boyle A, Kahn M, Valley M, Bland D, et al. Pelvic Organ Support Study (POSST): the distribution, clinical definition, and epidemiologic condition of pelvic organ support defects. Am J Obstet Gynecol. 2005;192(3):795-806. DOI: https://doi.org/10.1016/j.ajog.2004.10.602

Wu JM, Matthews CA, Conover MM, Pate V, Jonsson FM. Lifetime risk of stress urinary incontinence or pelvic organ prolapse surgery. Obstet Gynecol. 2014;123(6):1201-6. DOI: https://doi.org/10.1097/AOG.0000000000000286

Obinata D, Yamaguchi K, Ito A, Murata Y, Ashikari D, Igarashi T, et al. Lower urinary tract symptoms in female patients with pelvic organ prolapse: efficacy of pelvic floor reconstruction. Int J Urol. 2014;21(3):301-7. DOI: https://doi.org/10.1111/iju.12281

Handa VL, Cundiff G, Chang HH, Helzlsouer KJ. Female sexual function and pelvic floor disorders. Obstet Gynecol. 2008;111(5):1045-52. DOI: https://doi.org/10.1097/AOG.0b013e31816bbe85

Slieker-ten Hove MCP, Pool-Goudzwaard AL, Eijkemans MJC, Steegers-Theunissen RPM, Burger CW, Vierhout ME. The prevalence of pelvic organ prolapse symptoms and signs and their relation with bladder and bowel disorders in a general female population. Int Urogynecol J. 2009;20(9):1037-45. DOI: https://doi.org/10.1007/s00192-009-0902-1

Adjoussou SA, Bohoussou E, Bastide S, Letouzey V, Fatton B, de Tayrac R. Prévalence des troubles fonctionnels et associations anatomo-fonctionnelles chez les femmes présentant un prolapsus génital. Progrès en Urol. 2014;24(8):511-7. DOI: https://doi.org/10.1016/j.purol.2013.11.015

Lucassen EA, la Chapelle CF, Krouwel E, Groeneveld M. Renal failure caused by severe pelvic organ prolapse. BMJ Case Rep. 2019;12(7):e229318. DOI: https://doi.org/10.1136/bcr-2019-229318

Miyagi A, Inaguma Y, Tokoyoda T, Nakajima T, Sezaki R, Matsukawa T. A case of renal dysfunction caused by pelvic organ prolapse. CEN Case Rep. 2017;6(2):125-8. DOI: https://doi.org/10.1007/s13730-017-0257-2

Barber MD, Maher C. Apical prolapse. Int Urogynecol J. 2013;24(11):1815-33. DOI: https://doi.org/10.1007/s00192-013-2172-1

Maher CM, Feiner B, Baessler K, Glazener CMA. Surgical management of pelvic organ prolapse in women: the updated summary version Cochrane review. Int Urogynecol J. 2011;22(11):1445-57. DOI: https://doi.org/10.1007/s00192-011-1542-9

Snyder TE, Krantz KE. Abdominal-retroperitoneal sacralcolpopexy for the correction of vaginal prolapse. Obstetricsand Gynecol. 1991;77(6):944-9.7.

Timmons MC, Addison WA. Abdominal sacral colpopexy in 163 women with posthysterectomy vaginal vault Prolapse and enterocele: evolution of operative techniques. J Reproduct Medic Obstetr Gynecologist. 1992;37(4):323-7 DOI: https://doi.org/10.1097/00006254-199209000-00015

Muhlendorf IK, Browning GM. Vaginal length and sexual function after colpopexy for complete uterovaginal eversion. Am J Obstet Gynecol. 1993;169(2 Pt 1):284-7. DOI: https://doi.org/10.1016/0002-9378(93)90077-V

Velanovich V. Laparoscopic versus open surgery: a preliminary comparison of quality-of-life outcomes. Surg Endosc. 2000;14(1):16-21. DOI: https://doi.org/10.1007/s004649900003

Freeman RM, Pantazis K. A randomized controlled trial of abdominal versus laparoscopic sacrocolpopexy for the treatment of post- hysterectomy vaginal vault prolapse: LAS study. Int Urogynecol J. 2013;24(3):377-84. DOI: https://doi.org/10.1007/s00192-012-1885-x

Klauschie JL, Suozzi BA, O'Brien MM. A comparison of laparoscopic and abdominal sacralcolpopexy: objective outcome and perioperative differences. Int Urogynecol J Pelvic Floor Dysfunction. 2009;20(3):273-9. DOI: https://doi.org/10.1007/s00192-008-0768-7

Moiety FM, Hegab HM, Ghanem IA, Zedan WM, Salem HA. Abdominal sacrohysteropexy for uterovaginal prolapse: a prospective study on 33 cases. Arch Gynecol Obstet. 2010;281(4):631-6. DOI: https://doi.org/10.1007/s00404-009-1146-5

Demirci F, Ozdemir. Adominal sacrohysteropexy in young women with uterovaginal prolapse: result of 20 cases. J Reprod Med. 2006;51(7):539-43.

Barranger E, Fritel X, Pigne A. Abdominal sacrohysteropexy in young women with uterovaginal prolapse; long term follow up. Am J Obstet Gynecol. 2003;189(5):1245-50. DOI: https://doi.org/10.1067/S0002-9378(03)00665-3

Ali R, Ehsan R, Niaz G, Abid F. Abdominal sacrohysteropexy for uterine vaginal prolapse and preservation of reproduction. Professional Med J. 2021;28(5):652-5. DOI: https://doi.org/10.29309/TPMJ/2021.28.05.4562

Tahir S, Yasmin N, Kanwal S, Aleem M. Abdominal sacrohysteropexy in young women with uterovaginal prolapse. APMC. 2012;6(1):75-80.

Downloads

Published

2025-09-15

How to Cite

Moharana, M. R., & Pati, B. (2025). Surgical management of uterine prolapse by sacrohysteropexy: a case series. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 14(10), 3507–3510. https://doi.org/10.18203/2320-1770.ijrcog20252926

Issue

Section

Case Series