Sacrohysteropexy Using Mesh for Uterovaginal Prolapsed in Women Who Wish to Retain Uterus

Abstract

Objective: to study the ongoing results of sacrohysteropexy with Teflon mesh for treatment of uterovaginal prolapse in women who desire to preserve their uterus.Study Design:Cross sectional study.Place and Duration:Study was conducted in Gynacology department of Nishtar hospital, Multan, POF Hospital Rawalpindi and Holy Family Hospital Rawalpindi in one year duration from April 2016 to April 2017.Methodology: A total number of three hundred and eighty two(n=382) patients.Patients who desired to retain their uterus were evaluated by standard questionnaire, general physical examination and opturodynamic techniques. Six main outcome variables were assessed: Stress incontinence, urgency, urge incontinence, prolapse symptoms, constipation and dyspareunia. All these variables were assessed on basis of their severity. Data was analysed by using SPSS version 24. P value ≤ 0.05 was considered as significant.Results:in our study we observed outcome variables as stress incontinence, urgency, urge incontinence after sacrohysteropexy, observation was made on basis of relief from symptoms as mild and moderate 28.5% and 0.3%, 15.2% and 8.4%, 8.6% and 9.2% respectively. Constipation was noted as mild, moderate and severe 32.2%, 7.6% and 8.9% respectively.  Dyspareunia was noted as mild and moderate 24.1% and 0.5% respectively. All of these values are lessen when compared with pre-operative baseline values.Conclusion:Results of our study revealed that sacrohysteropexywith Teflon mesh is an effective and successful procedure for patients who were facing uterovaginal prolapse symptoms but desired to retain their uterus for fertility or childbearing.

Keywords: Sacrohysteropexy, Uterivaginal prolapse, Teflon mesh, Stress incontinence, Constipation.