Laparoscopic uterosacral uterine suspension: A minimally invasive technique for treating pelvic organ prolapse

Abstract

Study Objective To assess the surgical outcomes of laparoscopic uterosacral uterine suspension and describe the surgical technique. Design Retrospective chart review (Canadian Task Force classification II-3). Setting University tertiary medical center. Patients Twenty-three patients with symptomatic uterine prolapse and desire for uterine preservation who underwent surgical repair. Intervention Laparoscopic uterine uterosacral uterine suspension. Measurements Preoperative and postoperative evaluations were completed. The stage of pelvic organ prolapse was assessed using the ICS pelvic organ prolapse quantification (POP-Q) examination. Descriptive statistics and paired t testing were used for statistical analysis. Results Nineteen of 23 patients (82.6%) had preoperative prolapse stage 2 or greater. Nine patients (40.9%) had uterine prolapse beyond the hymen. After operation there were significant improvements in the stage of prolapse (2 vs 0, p < .01). The POP-Q scores for point C and D were significantly further away from the hymen after operation than compared with the preoperative values (−0.6 vs −7.8, and −5.0 vs −8.6; p < .01) respectively. There were no intraoperative complications. The estimated blood loss (mean ± SD) was 111.5 ± 139.4 mL. The hospital stay (mean ± SD) was 2.2 ± 1.7 days. None of the patients had symptomatic prolapse during the mean follow-up of 15.9 months. Conclusion Laparoscopic uterine suspension appears to be a safe and effective treatment option for uterine prolapse in patients who desire uterine preservation.