Long-term outcome in patients who underwent total laparoscopic hysterectomy with preservation of pericervical ring: An institutional-based descriptive study

Abstract

Abstract Background: Surgery for pelvic organ prolapse requires a thorough knowledge and understanding of the anatomy in order to restore function and alleviate symptoms. It is important to maintain the integrity of vaginal supports to prevent long-term postoperative sequelae. The aim was to study pelvic organ prolapse and sexual dysfunction in patients following total laparoscopic hysterectomy (TLH). Materials and Methods: A retrospective descriptive study was conducted in a tertiary care center from June 2016 to October 2022. Three hundred and forty-four patients were included in the study. It included all patients who had undergone TLH. Results: None of them had pelvic organ prolapse. The study also showed insignificant sexual dysfunction. The longest time of follow-up done from the day of surgery to evaluation for prolapse/sexual function in our study was seen to be 6.2 years, with the shortest follow-up time at 3 months. Conclusion: Based on the results of the present study, preservation of the pericervical ring and suspension of the vaginal vault as near as possible to its anatomical position seems an effective intervention to prevent long-term morbidity in patients.