Sacrohysteropexy with synthetic mesh for the management of uterovaginal prolapse.

OBJECTIVE

To study the ongoing results of sacrohysteropexy with Teflon mesh for treatment of uterovaginal prolapse in women who desire to preserve their uterus.

DESIGN

Prospective observational study.

SETTING

Tertiary referral urogynaecology unit.

PARTICIPANTS

Thirteen consecutive women with uterovaginal prolapse wishing to retain their uterus operated on by one surgeon.

SURGICAL METHOD: Sacrohysteropexy with Teflon mesh attached to the uterine isthmus and to the anterior longitudinal ligament of the first or second sacral vertebra in a tension-free fashion.

MAIN OUTCOME MEASURES: Subjective and objective cure of uterine prolapse and operative and post-operative complications.

RESULTS

The mean age of the women was 38 years (range 27-60). Eight women were multiparous. Twelve women had second degree uterine prolapse and one woman had third degree of uterine prolapse. Mesh was extended to correct a cystocele in one woman and a rectocele in three women. In four women colposuspension was performed at the same time. There were no intra- and post-operative complications. The mean follow up time was 16 months (range 4-49). At follow up only one woman had a first degree uterine prolapse. A total of seven women (53.8%) reported constipation which had been experienced pre-operatively by four women (30.8%).

CONCLUSIONS

We consider the sacrohysteropexy with Teflon mesh a safe, effective and durable surgical procedure for the management of uterovaginal prolapse in young women and those who desire to retain their uterus.