BERKELEY, CA (UroToday.com) - Pelvic organ prolapse (POP) is a common problem in aging women, and it is accompanied by significant morbidity and quality of life issues. POP is the third most common reason for performing hysterectomy in the United States. Interestingly, hysterectomies being done may also increase the development of post-hysterectomy POP development. In about 30% of these cases, reoperation will be necessary at a later time.[3, 4]
Many doctors use meshes for the treatment of POP recurrence, which may cause serious complications. The round ligament is the only stable ligament in uterine prolapse and was used for many years in suspension operations via transperitoneal, laparotomy, or laparoscopic approaches. But these surgeries had, to some extent, recurrence ratios.
A new procedure, the Kurt extraperitoneal ligamentopexy (KEPL), which we introduced in our recent article, provides a uterine-sparing alternative to hysterectomy for women with POP. Importantly, it is accompanied by low morbidity and without recurrence.
- Slieker-ten Hove MC, Pool-Goudzwaard AL, Eijkemans MJ, Steegers-Theunissen RP, Burger CW, Vierhout ME. Symptomatic pelvic organ prolapse and possible risk factors in a general population. Am J Obstet Gynecol 2009;200:184.e1-e7.
- U.S. Census Bureau. U.S. interim projections by age, sex, race and Hispanic origin. Available at: http://www.census.gov/ipc/www/ usinterimproj Retrieved June 28, 2005.
- Blandon RE, Bharucha AE, Melton LJ 3rd, Schleck CD, Zinsmeister AR, Gebhart JB.Risk factors for pelvic floor repair after hysterectomy. Obstet Gynecol 2009;113:601-8.
- Gerten KA, Markland AD, Lloyd LK, Richter HE. Prolapse and incontinence surgery in older women. J Urol 2008, 179: 2111-8.
- Kurt S, Canda MT, Tasyurt A. A new surgical method of suprapubic and extraperitoneal approach with uterine preservation for pelvic organ prolapse: kurt extraperitoneal ligamentopexy.ISRN Obstet Gynecol. 2013 Dec 17;2013:748232.
Sefa Kurta and Mehmet Tunc Candab as part of Beyond the Abstract on UroToday.com. This initiative offers a method of publishing for the professional urology community. Authors are given an opportunity to expand on the circumstances, limitations etc... of their research by referencing the published abstract.
aDepartment of Obstetrics and Gynecology, Tepecik Teaching Hospital, Izmir, Turkey
bObstetrics and Gynecology Unit, Kent Hospital, Cigli, Izmir, Turkey