Abstract
Purpose of investigation: Pelvic organ prolapse (POP) is common among multiparous, older, and/or obese women, but rare among nulliparous, young, and/or thin women. Uterus-sparing surgery for reproductive-age POP patients offers the potential for preserving fertility. The authors report a juvenile nulliparous POP woman treated with a modified Gilliam-Doleris hysteropexy. Results: The 19-yearold Japanese woman was referred to the authors after a vaginal pessary for her uterine prolapse failed; she also had a large ovarian tumor. She was 154 cm tall, weighed 54 kg, and had the body mass index 22.8 kg/m2. The POP was stage III. The authors performed a modified Gilliam-Doleris hysteropexy and concomitant right ovarian cystectomy. The patient has been free from recurrent prolapse for five years post-surgery. Conclusion: Although POP is rare in nulliparous juvenile women, it can occur with background cumulative risk. The modified technique of Gilliam-Doleris hysteropexy should be listed as a treatment option for juvenile POP patients.
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