Robotic/laparoscopic prolapse repair: role of hysteropexy: a urogynecology perspective

This article addresses uterine preservation at the time of pelvic floor repair. Currently available data on the effectiveness of pelvic organ prolapse repairs is based on studies in which women underwent hysterectomy at the time of pelvic floor repair, and cannot be extrapolated to hysteropexy. Seve...

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Bibliographic Details
Published in:	Urologic clinics of North America Vol. 39; no. 3; pp. 343 - 348
Main Authors:	Ramm, Olga, Kenton, Kimberly
Format:	Journal Article
Language:	English
Published:	United States 01-08-2012
Subjects:	Female Gynecologic Surgical Procedures - methods Humans Laparoscopy Pelvic Organ Prolapse - surgery Robotics Treatment Outcome Urologic Surgical Procedures - methods Uterus - surgery
Online Access:	Get full text
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Summary:	This article addresses uterine preservation at the time of pelvic floor repair. Currently available data on the effectiveness of pelvic organ prolapse repairs is based on studies in which women underwent hysterectomy at the time of pelvic floor repair, and cannot be extrapolated to hysteropexy. Several case series outline the feasibility and effectiveness of suture and mesh-augmented hysteropexy. Even fewer data are available regarding pregnancy risks and outcomes following hysteropexy. Leaving the uterus in situ at the time of pelvic floor repair also raises unique issues, such as the risk and management of future cervical or uterine abnormalities.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-3 content type line 23 ObjectType-Review-1
ISSN:	1558-318X
DOI:	10.1016/j.ucl.2012.06.008