Prolapse Of Uterus Research Articles

Clinical Management of Uterine Prolapse in a Multiparous Persian Cat: A Case Report

This case report deals with the clinical management of uterine prolapse in a 3.5 years old Persian cat with the history of prior parturition. The prolapsed mass was displaying congestion, enlargement, edema and mild straining with no lacerations or injuries. After thorough cleaning, reduction of edema and antiseptic dressing, the prolapsed uterus was repositioned properly. Purse string suture was applied to prevent reoccurrence. The queen showed good response to the manual correction, with no complications. This report demonstrates effective clinical management of postpartum uterine prolapse by manual repositioning in a queen cat avoiding surgical intervention.

Explorative Identification of Anatomical Parameters Associated with Successful Pessary Fitting in Pelvic Organ Prolapse Using Dynamic Magnetic Resonance Imaging.

Background: Pelvic organ prolapse (POP) affects many women and is often managed with pessary treatment, yet predicting the success of fitting remains challenging. This study aims to identify anatomical parameters associated with successful and unsuccessful pessary treatment using dynamic magnetic resonance imaging (dMRI). Methods: A cross-sectional study in Maastricht University Medical Centre (MUMC+), the Netherlands. Sixteen women with a cystocele and/or descensus uteri minimal POP-Q stage 2, using pessary treatment, were included. All women underwent a dynamic MRI of the pelvic floor at rest, during contraction and on Valsalva. The anatomical parameters evaluated included various lengths and angles. The association between the anatomical parameters and pessary fitted is assessed using partial least squares regression. The predictive accuracy was tested using cross-validation based on the partial least squares model with the most important variables. Results: Seven of the sixteen women (43.8%) were in the non-fitting group (due to movement, rotation or expulsion of the pessary), and nine women (56.3%) were in the fitting group. Participants in the non-fitting group had a significantly lower body mass index (BMI). Variables such as total vaginal length (TVL) and certain angles were highly predictive of pessary fitting success, with variable importance of projection (VIP) scores indicating their importance. The prediction models showed accuracies ranging from 53.3% to 80.0%. Conclusions: In this explorative study, TVL, cervical length (CL), sacrococcygeal angle and pubococcygeal angle were key variables associated with pessary fitting success. These findings offer valuable insights for optimizing pessary fitting procedures and the development of new pessaries.

A review of vaginal hysterectomies in the gynaecology department of a tertiary care hospital.

This retrospective cohort study analysed the trends and complications of vaginal hysterectomy conducted at Services Hospital, Lahore, from January 1, 2015 to December 31, 2020. Demographics, indications, surgery duration, complications (haemorrhage, urological or rectal problems, infection), and hospital stay were recorded. Out of 819 hysterectomies performed for benign gynaecological conditions, 112 (13.68%) were vaginal hysterectomies. Non-descent vaginal hysterectomy (NDVH) accounted for 33(29.46%) and uterine prolapse for 79(70.53%) of the cases. Mean age was 52.35±8.74 years, parity was 5.01±1.32, intraoperative haemorrhage was 796.87±450.1 ml, surgery duration was 48.61±12.28 minutes, and hospital stay was 2.58±0.41 days. Complications occurred in 19(16.97%) of the cases, while 93(83.03%) cases had no complications. Outcomes were comparable between NDVH and vaginal hysterectomy for prolapse (p=0.552). This indicates that vaginal hysterectomy is a safe procedure with minimal complications and quick recovery for uterine prolapse and non-descent uterus. However, a declining trend was observed over the study period.

Total laparoscopic hysterectomy – Learning curve and its impact on surgical outcome of 773 case series from a single center

Abstract Study Objective: The objective of this study was to assess the learning curve of total laparoscopic hysterectomy (TLH) and its impact on surgical outcome of 773 consecutive cases between two decades. Design: This was a retrospective observational comparative study of 773 consecutive cases of TLH. Setting: This study was conducted at ILS Hospital, Kolkata, India, a private tertiary referral center for endoscopic surgery. Patients: Total 773 women with benign pelvic pathologies from 2000 to 2019 having similar demographic characteristics irrespective of uterus size and previous surgery were included while patients with malignancy and second-degree uterus prolapse were excluded. Interventions: TLH by ipsilateral technique. Materials and Methods: The study period was divided into two decades with 386 and 387 surgeries of TLH in the first and second decades, respectively, maintaining homogeneity within the periods. The CUmulative SUMmation (CUSUM) technique was used to construct a learning curve of operative time where learning point. Results: Learning Point was found at the 118th surgery. Overall complications decreased from 4.39% to 1.33% (P = 0.0096) between two decades, and major and minor complications decreased from 3.36% to 0.52% (P = 0.0042) and from 1.03% to 0.78% (P = 0.1416), respectively. No major vessel injury occurred. Five ureter injuries occurred in the first decade and none in the second decade. In-spite of significant increase in uterus size and double the number of Lower Uterine Caesarian Section (LUCS) in 2nd decade (P<0.00001), bladder injuries occurred in 1st decade & 2nd decade was 7 (1.81%) and 1 (0.26%) respectively (P=0.033). Total 56 conversions (7.56%) occurred: the first decade was 27 (6.97%) and the second decade 29 (7.51%) (P = 0.7814). Conclusion: Laparoscopic hysterectomy can be safely done by ipsilateral technique with low complication if one achieves a learning curve under supervised training. In our study, gained experience helped us to decrease major bladder, bowel, and ureteric injuries drastically by 90.91% in spite of increased complexity of cases in the second decade.

A new technique for uterine-preserving pelvic organ prolapse surgery: Laparoscopic rectus abdominis hysteropexy for uterine prolapse by comparing with traditional techniques.

Contemporary understanding of the dynamic anatomy of pelvic floor support has led us to new conservative surgery for uterine prolapse (UP). In this study, we comprehensively evaluate the safety and feasibility of a new technique for uterine-preserving pelvic organ prolapse surgery: laparoscopic rectus abdominis hysteropexy for uterine prolapse (LRAHUP). A retrospective study was conducted between 2006 and 2016. Sixty-five women diagnosed with advanced prolapsed uterus were eligible and grouped into traditional vaginal surgery (TVS, n = 30) group and new laparoscopic surgery (NLS, n = 35) group. Evaluated items of 65 cases included surgery-related parameters and postoperative outcomes. Surgical safety evaluating indicators, including operation time, blood loss, postoperative hospitalized day, and operation complications, also showed great significant difference between two groups (P < 0.05). The subjective index of post-operative Pelvic Floor Distress Inventory-short form 20 scores and some objective anatomic outcomes all showed great difference between pre- and post-operation (P < 0.05). Although the TVL showed no difference between pre- and post-operation in the same group, the TVL displayed a remarkable elongation. And a remarkable tendency was a higher cumulative recurrence ratio in the TVS group and a shorter follow-up period in the NLS group. LRAHUP may be a good procedure to manage women with advanced prolapsed uterus.

Mostafa Maged sling technique to treat prolapsed uterus in an easy way (New Technique).

In the female population, pelvic organ prolapse is a common problem that lowers people's quality of life in terms of their health. Depending on the severity of the prolapse and the symptoms, there are many treatment options. Simple observation, vaginal pessaries, or surgical management are all possible treatments. Reconstructive pelvic surgery with or without mesh augmentation and obliterative surgery are two surgical treatments that are available. Due to the contentious concerns surrounding the use of mesh and the rising demand for uterine preservation, surgical practices are currently shifting. Just two cases are included in this study due to the rarity of this condition. In this study, I introduce a new technique to the literature (Mostafa Maged sling technique) which will be challenging. This technique depends on round ligaments and ovarian ligament to hitch up the whole uterus. There were no difficulties following the procedure. None of the patients required blood transfusions, and there were no signs of dehiscence or incision infection. Non-steroidal antiinflammatory medications were administered to both patients as analgesia. On the first postoperative day, the foley catheters were removed from both patients. A simple and new manueuver is applied in the literature to treat the uterine prolapse. It is easy to learn and easy to perform. We need further studies to compare different techniques including Mostafa Maged sling operation to manage uterine prolapse.

Homoeopathy as a Trump Card in Treating Prolapse of Uterus

Prolapse of Uterus is herniation of uterus into the vaginal vault because of the weakness of supporting muscles. This is not a life-threatening situation but quiet common condition amongst most of the parous women. Prolapse of uterus is in or out of the vaginal wall. Homoeopathy provides an effective treatment in assisting the maintenance of supports of uterus and can overcome prolapse of uterus. Keywords: Homoeopathy, Herniation, abdomen, Vagina, Supports, Women, Prolapse of uterus

Obstetrical Management of Partial Uterine Prolapse in a Mare

Uterine Prolapse is termed as the eversion of the uterus or casting of ‘’wethers’’ or casting of calf bed. It is a common complication of the third stage of labor and more common in pleuripara than primipara. Uterine prolapse is common in cows and ewes, but rarely seen in mares, dogs, and cats. A six-year-old female pony was brought to the emergency unit at the Obstetrics Unit of Veterinary Clinical Complex, Veterinary College and Research Institute Orathanadu, with a history of aborted pre-term (eight months) a day before and the mass hanging through the vulva. On clinical examination, the animal was dull and in a standing posture, the congested mucous membrane with tachycardia was noticed. Further examination of the mass revealed severe congestion and edema of the prolapsed uterus with no evidence of fetal membrane remnants. A vaginal examination explored constricted cervix. Blood samples were collected for hematology and serum biochemistry. Upon epidural anesthesia, the prolapsed mass was washed with potassium permanganate solution and then a hypertonic solution. After 10 minutes, the mass was washed with warm normal saline. Using Cetrimide cream as a lubricant and an antiseptic, the mass was reduced and repositioned. No Buhner’s suture was applied. Mare has received 40 IU of oxytocin for the involution process to begin. Systemic antibiotics and anti-inflammatory drugs were administered for five days. Uterine lavage was done for three days with normal saline and povidone-iodine to aid in uterine clearance. On consequent days, the mare had improved and the cervix was closed with no discharge. The mare had an uneventful recovery.

Management of preexisting pelvic organ prolapse in pregnancy complicated with preterm premature rupture of membrane: a case report

BackgroundPregnancy management is difficult when pelvic organ prolapse already exists. During pregnancy, childbirth, and the days following, clinicians may come across situations that present management dilemmas. Here, we present conservative management of preexisting pelvic organ prolapse in pregnancy complicated with preterm premature rupture of membrane up to term.Case presentationA 35-year-old Ethiopian woman, gravida V, para IV, visited our emergency obstetrics and gynecology department at 32 weeks and 1 day of pregnancy in a prolapsed uterus on the 4th of April 2022. She was referred from primary hospital as a case of preterm pregnancy, pelvic organ prolapse, and preterm premature rupture of membrane after she presented with complaints of passage of clear liquor of 10 hours duration. She was successfully managed conservatively without application of pessary until she gave birth to a 3200 g healthy male neonate by elective cesarean section at 37 weeks of gestational age. At the same operation, cesarean hysterectomy was done.ConclusionWomen with preexisting pelvic organ prolapse complicated by premature rupture of membrane during the third trimester of pregnancy can be treated without the use of a pessary. Our case shows the importance of conservative management, which includes strict antenatal follow-ups, lifestyle modifications, and manual uterine reduction. Due to potential intrapartum problems from induction of labor with the occurrence of severe pelvic organ prolapse, we recommend cesarean delivery. However, to determine the optimal mode of delivery, additional comprehensive study with a large sample size is vital. If definitive management is warranted after delivery, we need to take a consideration of the status of prolapse, patient’s choice, and family size.

To evaluate the predisposing factors of uterovaginal prolapse in women admitted in gynaecology ward

: Uterovaginal prolapse is an abnormal protrusion or herniation of pelvic organs from its normal position in the pelvis, due to failure of anatomical support. The prevalence of uterovaginal prolapse is difficult to be determined because many women are asymptomatic and many are hesitant to discuss with family. It can be considered a silent epidemic. The cause of uterovaginal prolapse is multifactorial. The parity, mode of delivery, postmenopausal status, obesity are some of the factors affecting the severity. The condition is preventive and by counseling and care during antenatal and postnatal period, the prevalence of this condition can be curtailed and quality of life can be improved.To evaluate the predisposing factors of uterovaginal prolapse in women admitted to the gynaecology ward.: A retrospective study was done for a period of 2 years from January 2019 to January 2021 at Integral Institute of Medical Sciences and Research, a tertiary care hospital and medical college, Kursi Road, Dasauli, Lucknow. The women admitted in gynaecology ward with symptoms of mass per vagina were included in the study. The data was retrieved from medical records of the department. The case file as per inclusion and exclusion criteria was identified and included in the study. The information of risk factors was collected using patient proforma. The pelvic organ prolapse quantification system (POPQ) approved by international continence society was used for categorizing uterovaginal prolapse. Data was analysed using SPSS version 20. Frequencies, percentage and mean computed to describe the variables of the study. The Chi-square test was used to compare variables. The statistical significance P&amp;#60;0.05 was considered significant.: The period of study was from January 2019 to January 2021. During this period 11256 patients were seen at the gynaecological clinic, out of which 206 patients had uterovaginal prolapse. The prevalence was 1.8%. The multiparity, prolonged and difficult deliveries, delivery by untrained personnel, mismanaged third stage of labour involving injury to sphincters and vaginal tears are determinants of prolapse uterus. Further postmenopausal condition causing hypoestrogenic state causes weaking of ligaments, collagen and aggravates the condition. Hence, preventive measures like institutional delivery, delivery by trained personnel, menopausal clinics may help the target population.

Comparative Evaluation of Surgical Methods of Uterine Prolapse Treatment in Cats and Dogs

Introduction. Currently, keeping the small pets, in particular cats and dogs, is becoming more and more popular every year. Unfortunately, not all the breeders are familiar with the rules of care, feeding, keeping, breeding and first aid provision during the parturitions. Thus there occur cases of the pathological patrimonial activity, which can subsequently lead to uterine prolapse in animals. Another important reason causing pathology is keeping animals in the self-walking. This leads to uncontrolled mating of animals of various breeds and weight categories and most often causes macrocarpous pregnancies in females.The aim of the study is to make the comparative evaluation of the surgical methods of uterine prolapse treatment in cats and dogs, whereas the pathology itself is much less common than other reproductive diseases and has not been sufficiently studied.Materials and methods. The study was carried out from 2021 to 2022 at the Chair of Non-Contagious Diseases of Agricultural Animals of the Federal State Budgetary Educational Institution of Higher Education “Northern Trans-Ural State Agricultural University” and at the premises of the veterinary clinic “Polar Bear” of the town of Yalutorovsk. The objects of the study were cats and dogs of different breeds and ages admitted to the clinic. During the study, the clinical, biochemical methods and the anamnesis data were used.Results. Within the period from 2021 to 2022 the number of pet owners attending the clinic was 6179. Of these, 2505 (40.5 %) were admitted with dogs, 3593 (58.1 %) with cats and 81 (1.3 %) with other animals. Among cats and dogs 4345 females were registered, their share equaled to 71.3 %, of which 2816 (46.2 %) were cats and 1529 (25.1 %) were dogs. The share of reproductive diseases in cats accounted for 683 cases out of 2816 (24.3 %), in dogs – 389 cases out of 1529 (25.4 %). It was found that uterine prolapse in cats accounts for 1.8 %, and in dogs for 3.3%. It was also revealed that the pathology occurs in cats aged 3 to 6 years old (50.0 %), in dogs under the age of 12 months old (46.2 %), due to the onset of the first estrus, and in animals older than 7 years old (53.9 %) due to multiple parturitions. In terms of breed susceptibility among cats the pathology was most often found in outbred specimens (50.0 %).Discussion and conclusions. The efficiency of treatment during the reposition of prolapsed uterus in the first group of animals was 30 %; this leads to the conclusion that the risk of relapse is very high and that the ovariohysterectomy is recommended for this pathology.

UTERINE PROLAPSE IN A 30 YEAR OLD PREGNANT WOMAN: A CASE REPORT

Rationale: Uterine prolapse is the descent of the uterus and cervix down the vaginal canal toward the introitus. Uterine prolapse in pregnancy is a rare condition but this may be highly risky as it may causes antepartum, intrapartum, and puerperal complication. Estimated incidence of uterine prolapse in pregnancy is about 1 per 10,000–15,000 deliveries It is also known that multiparity and advanced age are major risk factors for pelvic organ prolapse which can rarely complicate pregnancy. Patient concerns: A 30-year-old female , married since 17 years, Gravida:7, Para: 5, Live: 5, Mtp:1with previous all vaginal deliveries with 40 weeks of gestation came to the JJ hospital, Mumbai with complaints of pain in abdomen since 2 hours and uterine prolapse since 2 and half years. On clinical examination Diagnoses: of patient we found that, on per abdominal examination – uterus full term with cephalic presentation of baby with fetal heart rate ranges between 140 to 150 per min. On per speculum examination – grade 3 uterine prolapse with edematous, thick and ulcerated cervix. Due to edematous , thick , ulcerated and prolapsed cervix, decision of cesare Interventions: an delivery was taken . A live female baby of weight 2400 gram was delivered. The prolapsed uterus recovered following the cesarean operation. It seems to be essential to perform cesarean section because of the risk of possible obstructed labor. We observed a rapid recovery of the anatomy. All signs and symptoms of patient relieved. The Outcomes: patient has not experienced any complications.

Successful management of post parturient complete prolapse of uterus in a non-descript buffalo - A case report

Prolapse is a common ailment associated with parturition in cattle and buffaloes. An eight-year-old, non-descript buffalo with the history of aggressive assistance during parturition was presented at farmers doorstep for third degree complete uterine prolapse. The prolapsed mass haemorrhagic and soiled, the mass was cleaned maintaining all aseptic measures. Animal was restrained and using the three-step management reduction, reposition and retention of the prolapsed mass was undertaken. The blood parameters indicated anaemia, neutrophilia, and eosinophilia, while the serum profile indicated hypocalcaemia. The case was managed rationally by rehydration, supplementation of energy and calcium. The infection and trauma of uterus was managed with antibiotic therapy, analgesics and antiallergics. The animal recovered uneventfully without a relapse of the uterine prolapse.

Pregnancy with Prolapse Utery

Present uterine prolapse, which can occur before or during pregnancy, is uncommon in pregnant women. Premature delivery and fetal death, additionally to urinary tract infection and acute urinary retention, are complications caused by uterine prolapse in pregnancy. These complications range from a minor cervical infection to an unplanned abortion. A 38-year-old woman who had a vaginal delivery eight years ago is described in this case. Early detection and close monitoring are critical during pregnancy. Individual attention is required for a successful pregnancy outcome, but bed rest should never be overlooked. Depending on the severity of the uterus prolapse as well as the patient's preferences, conservative treatment options during pregnancy may be an option. Pregnancy-related conservative treatment modalities, depending on Depending on the patient's preferences and the degree of uterine prolapse, it may be possible to have a natural and healthy spontaneous pregnancy. However, treating uterus prolapse while pregnant requires early detection and treatment.

Cervical Cancer in Case with Pelvic Organ Prolapse (POP) and Stress Urinary Incontinence (SUI)

Background: Combined cervical cancer and pelvic organ prolapse (POP) is extremely uncommon and there is no standard treatment guideline for the complex comorbidity. We attempted to provide a treatment strategy and explore possible reasons for the comorbidities. Case presentation: We presented a 62-year-old patient seeking treatment for postmenopausal tissue prolapse and leakage of urine. The gynecologic examination revealed the uterine prolapse with a 2.5 cm papillary and erosive lesion on the cervix that was pathologically confirmed as cervical squamous cell carcinoma in stage Ib1. Clinical diagnosis included cervical squamous cell carcinoma in stage Ib1, prolapse of uterus and vagina, stress urinary incontinence (SUI). Then she was performed radical surgery for cervical cancer and tension-free vaginal tape-obturator (TVT-O). The urine function was good after operation. The surgery solved two diseases, which improved the quality of life (QOL) of patient and radically cured cervical carcinoma at the same time. Follow up for more than two years, HPV was negative, no prolapse symptoms occurred, and the quality of life was good. Conclusions: Surgical-based treatment seems to be more suitable that can cure the two diseases and improve the QOL. We should pay attention to the potential high incidence of HPV infection and HPV-related cervical cancer so that we should not ignore the screening for cervical cancer in the prolapse group and initiate surgery treatment strategies of cervical cancer or pre-cancerous lesions as early as possible to reach an optimal outcome of patient.

Uterine Prolapse: Homoeopathic Approach

Uterine prolapse is most common condition in day to day practice among parous women. Prolapse of uterus is in or out of the vaginal wall. Most common gynecological condition affecting both in developing and developed countries. Homoeopathy plays an important role in providing effective treatment and helps in assisting the maintenance of supports of uterus.

Comparison of conventional heaney technique and ten step vaginal hysterectomy technique

Aim: This study aimed to compare the conventional Heaney technique and the ten-step vaginal hysterectomy technique. Materials and Methods: This retrospective study included 65 women who were operated vaginal hysterectomies at Kanuni Sultan Suleyman Training and Research Hospital between 1 October 2020 and 31 December 2021. Female patients aged between 40 and 85 who underwent vaginal hysterectomy for benign indications were enclosed in the study. They were divided into two groups, Conventional Heaney’s technique(CHVH Group 1) and the ten-step vaginal hysterectomy technique (TSVH Group 2). İn the CHVH group, 39 were potentially eligible and 35 were included in the study. On the other hand, in the TSVH group, 33 were potentially eligible and 30 were included in the study. Results: There were 8(22.85%) complications in the CHVH group and 4(13.33%) in the TSVH group. With the CHVH method, there were 2(5.71%) bladder perforations, 1(2.85%) converted to laparotomy, and 1(2.85%) laparotomy problem. In the TSVH approach, there was no bladder perforation, and no one converted to laparotomy. The group patients' operating times were longer in the CHVH method than in the TSVH technique, 56.6018.44 and 42.2018.63, respectively. Prolapsus uteri were the most common indication for surgery in both groups. Conclusion: TSVH is superior to CHVH in terms of complication, and operating time, The ten-step vaginal hysterectomy technique can be used because of its low complication rates.

Postpartum Uterine Prolapse and Vaginal Cystocoele in a Murrah Buffalo

A pluriparous Murrah buffalo was presented with vaginal tear over fornix vagina along with post-partum prolapse of uterus, cervix and urinary bladder. The case was managed by suturing of vaginal wall after repositioning the prolapsed mass. The catheterization of urinary bladder and modified Buhner's sutures through vulvar lips were applied to prevent the recurrence of the condition.

Laparoscopic Sacrocervicopexy Using Ethibond Suture Graft: A Very Economic Yet Effective Fertility Preserving Surgery for Pelvic Organ Prolapse.

The modern era has witnessed a transition to a phase of uterus-preserving surgeries and so holds true for pelvic organ prolapse (POP) surgeries as well. Laparoscopic sacrocervicopexy has become a preferred surgical modality for moderate to severe degrees of POP in most women of the childbearing age group. With the alarming incidences of mesh erosion, synthetic mesh has almost gone offthe market. We advocate a very simple and cost-effective technique of laparoscopic sacrocervicopexy using an Ethibond suture graft. It was a pilot prospective observational study over one year. Consecutive consenting women with symptomatic prolapsed uterus Stage-II of the central component of the quantitative POP classification (POP-Q) were recruited. Laparoscopic sacrocervicopexy was performed under general anesthesia using the standard protocols, and patients were prospectively followed for six months after surgery. The duration of surgery and hospital stay were noted. Patient satisfaction was rated using a five-point Likert scale. The vaginal length was measured immediately after and six months post-surgery. Sexual function was assessed using the validated female sexual function index (FSFI) scale six months after sacrocervicopexy. Out of 28 recruited women, the majority were multiparous, highly qualified, and belonged to the middle socio-economic class. Seven patients had co-morbidity in the form of hypertension (17.8%), diabetes (7.1%), and cardiovascular diseases (7.1%). The mean duration of surgery was 105.8±7.2 minutes in the study population. The mean duration of hospital stay was 2.2±0.6 days. No surgical site infection was noted in any of the cases. Most patients rated "very satisfied" experiences following surgery (67.9%). The mean vaginal length after surgery was 7.6±1.2 centimeters. After a follow-up period of six months, the mean vaginal length was 7.4±0.8 centimeters. The mean FSFI score was 30.8±2.4. Laparoscopic sacrocervicopexy with Ethibond suture graft is a cost-effective and safe surgical technique for POP in resource-limited settings. It also obviates the additional cost of synthetic mesh and the long-term risks of mesh erosion.

Personal experience of Non Descent Vaginal Hysterectomy (NDVH) in a District Hospital - A Study of 60 cases.

Objective(S): To share our experience and explore the safety &amp; feasibility of NDVH in 60 cases. Methods: This prospective observational study was conducted from Jan 2016 to Dec 2017 in Obstetrics and Gynaecology Department of Sylhet shaheed Shamsuddin Ahmed Hospital, Sylhet. Sixty patients requiring hysterectomy for benign nonprolapsed gynaecological disorders were the target population. Prerequisite for non-descend vaginal hysterectomy were uterine size not exceeding 20 weeks, adequate vaginal access with uterine mobility. Main outcome measures were i) Procedures of removal of large uterus ii) Time taken to complete the operation iii) Blood loss during operation iv) Postoperative hospital stay. v) Postoperative complications. Results: Vaginal hysterectomy was completed successfully in 100% cases. All patients were multiparous and in 41-45 years age group (37%). Commonest indication was AUB (37%), Second indication was fibroid uterus (35%) and next indication was adenomyosis (13%). In most of the case uterus was 10-12 weeks size (37%), in 28% cases uterine size was less than 8 weeks, 14-16 weeks size in 27% cases and uterus was more than 16 weeks size in 8% cases. Morcellation techniques like bisection, myomectomy, wedge resection and debulking were done to remove bigger sized uterus. Mean operating time was 45 minutes. Mean blood loss was 60ml. Average hospital stay was 3 day. Complications were minimum which included UTI and febrile morbidity. At 12 weeks postoperative follow up 72% patient had no adverse complain though 18% cases was drop out. Conclusions: Vaginal hysterectomy is safe feasible, scarless and patient friendly approach for benign gynaecological disorders other than prolapsed uterus. In this era of minimally invasive surgery, non-descend vaginal hysterectomy is to be considered as a safe option.