A new surgical method of suprapubic and extraperitoneal approach with uterine preservation for pelvic organ prolapse: Kurt extraperitoneal ligamentopexy - Abstract

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.

Written by:
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.
doi: 10.1155/2013/748232

PubMed Abstract
PMID: 24455290

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