A Conservative Approach to Uterovaginal Prolapse: Assessing the Effectiveness and Outcomes of Abdominal Sacrohysteropexy.

Abstract

Background: Pelvic organ prolapse (POP) is the descent of the pelvic organs including bladder, rectum, uterus, vaginal vault and intestines, beyond their anatomical confines.The goal of uterine conserving surgical alternatives is to improve quality of life and reduce symptoms by restoring anatomy and function.

Purpose: This study assesses the effectiveness of sacrohysteropexy by evaluation of intra-operative and post-operative complications and recurrence rates.

Methods: This study involved 18 women under 45 with stage 2 to stage 4 prolapse who underwent abdominal sacrohysteropexy at a tertiary care hospital. A comprehensive evaluation assessed surgical duration, complications, blood transfusion needs, and hospital stay length both pre- and post-surgery. Patients were monitored for 12 months after discharge to track recovery and any long-term effects or recurrence of prolapse.

Results: Age distribution: 7 aged 21-30, 10 patients aged 31-40, 1 over 40.All patients were married. Parity: 1 was nulliparous, 13 patients had 1-3 children and 4 had 4-6 children. Prolapse stage : 2 patients each had stage 2 and stage 4 had whereas 14 patients had stage 3 while.Blood loss: 1 case required transfusion (500 ml). Mean Surgery duration: 60-90 mins on. Complications: 1 case of wound dehiscence. Discharge: Average duration of hospital stays was 5-7 days. Follow-up: Mean 12 months. no mesh erosion or recurrence detected. Deep dyspareunia: Reported in 1 patient during follow-up. Success rate: (100%).

Conclusion: Abdominal Sacrohysteropexy is a safe and effective treatment option for women suffering from uterovaginal prolapse with willingness to preserve the menstrual and reproductive functions.