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Volume : 40 Issue : 4 Year : 2021
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pelviperineology. 2020; 39(3): 77-84 | DOI: 10.34057/PPj.2020.39.03.002

Anatomical outcomes of laparoscopic high uterosacral ligament suspension for primary apical prolapse

BURAK SEZGİN1, FATİH PİRİNÇÇİ1, EREN AKBABA1, AYSUN CAMUZCUOĞLU2, EDA ADEVİYE ŞAHİN3, AHMET AKIN SİVASLIOĞLU1, HAKAN CAMUZCUOĞLU4
1Department of Obstetrics and Gynaecology, Muğla Sıtkı Koçman University Faculty of Medicine, Muğla, Turkey, 2Department of Obstetrics and Gynaecology, Private Adatıp Sakarya Hospital, Sakarya, Turkey, 3Department of Obstetrics and Gynaecology, Malatya Training and Research Hospital, Malatya, Turkey, 4Private Clinic, Department of Gynaecologic Oncology, Sakarya, Turkey

Objective: :We aimed to evaluate the short-term anatomical results of laparoscopic high uterosacral ligament suspension (LHUSLS) in the surgical treatment of apical prolapse.
Materials and Methods: :Medical records of thirty women with stage 2 or higher cuff or uterine apical prolapse who underwent LHUSLS operations were retrospectively analysed. Preoperative, intraoperative, and 6- and 12-month short-term postoperative data were recorded. Anatomical success was defined as no prolapse for any Pelvic Organ Prolapse Quantification (POP-Q) point at or below 1 cm above the hymen. To evaluate prolapse symptoms, we used the Pelvic Organ Prolapse Distress Inventory (POPDI)-6 questionnaire.
Results: :Based on stage II of POP-Q as the recurrence criteria, the anatomical success rate was 100%. The POP-Q point C, Aa, Ap, Ba and Bp measurements were significantly higher after surgery than the preoperative values. There was no recurrence or ureteral injury in any case. The scores of POPDI-6 before and after LHUSLS were significantly lower in all patients after surgery (p<0.001).
Conclusion: :LHUSLS is a simple and effective procedure that has been found to provide successful anatomical outcomes and reduced ureteral injury for apical prolapse. However, the long-term results of this procedure require further investigation.


Cite This Article

SEZGİN B, PİRİNÇÇİ F, AKBABA E, CAMUZCUOĞLU A, ADEVİYE ŞAHİN E, SİVASLIOĞLU A, CAMUZCUOĞLU H. Anatomical outcomes of laparoscopic high uterosacral ligament suspension for primary apical prolapse. 2020; 39(3): 77-84

Corresponding Author: SEZGİN B.

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