Objective: To introduce an alternative surgical approach for the optimal treatment of pelvic organ prolapse (POP).
Methods: Twenty symptomatic women with grades 2-4 POP diagnosis who opted to choose this alternative surgery were retrospectively analyzed.
Results: A total of 22 cases were included. The mean age of the patients was 50.6 ± 13.2 years (29-72 years) with a mean gravid and parity of 5.5 ± 2.66 and 3.4 ± 2.06, respectively. The mean body-mass index of the patients was 24.25 ± 2.43. Nine (45%) patients were premenopausal and 11 (55%) patients were postmenopausal. Uterine descensus was present in all patients, and additionally cystorectocele in 9 patients (45%), cystocele in 6 patients (30%), rectocele in 4 patients (20%), and elangatio colli in 6 patients (30%) were diagnosed. In addition to the alternative surgery, Manchester procedure and anteroposterior vaginal wall repair or Burch procedure was performed where necessary. Mean follow-up time was 48.95 ± 42.8 months (6-171 months). No recurrence of POP occurred.
Conclusions: Suprapubic, extraperitoneal, and minimally invasive ligamentopexy of the round ligament to the anterior rectus fascia offers an alternative to conventional POP surgery with favorable outcomes without any recurrence.
Kurt S, Canda MT, Tasyurt A. Are you the author?
Tepecik Teaching and Research Hospital, Gynecology and Obstetrics Department, Gaziler Caddesi No. 468, Yenişehir, 35330 Izmir, Turkey; Kent Hospital, Gynecology and Obstetrics Department, 8229/1 Sokak No. 56, Cigli, 35580 Izmir, Turkey.
Reference: ISRN Obstet Gynecol. 2013 Dec 17;2013:748232.