Premium
Medium‐term outcomes after combined trachelectomy and uterosacral ligament suspension among young women with severe uterine prolapse
Author(s) -
Sun Zhixing,
Zhu Lan,
Hu Huiying,
Lang Jinghe,
Shi Honghui,
Gong Xiaoming
Publication year - 2016
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2015.07.012
Subject(s) - medicine , trachelectomy , urinary incontinence , sexual function , surgery , gynecology , cervical cancer , cancer
Objective To evaluate anatomic and sexual outcomes among young women with severe pelvic organ prolapse undergoing combined trachelectomy and laparoscopic high uterosacral ligament suspension (LHUS). Methods In a prospective study in Beijing, China, patients (aged ≤ 50 years) with pelvic organ prolapse of stage III or higher according to the Pelvic Organ Prolapse Quantification (POP‐Q) were enrolled between November 2007 and August 2011. After combined trachelectomy and LHUS, patients were followed up at 6 weeks, 6 months, 12 months, and yearly thereafter. Anatomic success was defined as POP‐Q lower than stage II. Sexual outcomes were assessed at 6 months via the validated Short‐Form Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ‐12), and compared with a control group of 39 healthy age‐matched women. Results Among 49 patients, surgical success and patient satisfaction rates were 100% after a median follow‐up of 54 months. Among 48 patients who were sexually active at follow‐up, 39 (81%) completed the PISQ‐12 questionnaire. The 6‐month PISQ‐12 score was higher than the preoperative score overall (38.1 vs 26.4, P < 0.001) and for all three subscale domains ( P ≤ 0.001). The PISQ‐12 score of postoperative patients was similar to that of control women (36.8, P = 0.52). Conclusion Trachelectomy combined with LHUS produced satisfactory medium‐term anatomic and functional outcomes for young women with severe uterine prolapse.