Uterine Prolapse Methods Usa

Uterine Prolapse Methods Usa
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Ferri FF. Pelvic organ prolapse. In: Ferri's Clinical Advisor 2022. Elsevier; 2022. https://www.clinicalkey.com. Accessed May 31, 2022.
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Supporting ligaments and other connective tissues hold the uterus in place. When these supportive tissues stretch and weaken, the uterus can move out of its original place down into the vagina. This is called a prolapsed uterus.
Uterine prolapse occurs when pelvic floor muscles and ligaments stretch and weaken until they no longer provide enough support for the uterus. As a result, the uterus slips down into or protrudes out of the vagina.
Uterine prolapse most often affects people after menopause who've had one or more vaginal deliveries.
Mild uterine prolapse usually doesn't require treatment. But uterine prolapse that causes discomfort or disrupts daily life might benefit from treatment.
Mild uterine prolapse is common after childbirth. It generally doesn't cause symptoms. Symptoms of moderate to severe uterine prolapse include:
See a health care provider to talk about treatment options if symptoms of uterine prolapse bother you and keep you from doing daily activities.
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Uterine prolapse results from the weakening of pelvic muscles and supportive tissues. Causes of weakened pelvic muscles and tissues include:
Factors that can increase the risk of uterine prolapse include:
Uterine prolapse often happens with prolapse of other pelvic organs. These types of prolapse can also happen:
To reduce the risk of uterine prolapse, try to:
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1 UCLH Urogynaecology and Pelvic Floor Unit, University College Hospital, 235 Euston Road, London NW1 2BU, UK. azarkhunda@yahoo.co.uk

Azar Khunda et al.

Best Pract Res Clin Obstet Gynaecol .

2013 Jun .

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1 UCLH Urogynaecology and Pelvic Floor Unit, University College Hospital, 235 Euston Road, London NW1 2BU, UK. azarkhunda@yahoo.co.uk

Detollenaere RJ, den Boon J, Stekelenburg J, IntHout J, Vierhout ME, Kluivers KB, van Eijndhoven HW.
Detollenaere RJ, et al.
BMJ. 2015 Jul 23;351:h3717. doi: 10.1136/bmj.h3717.
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Traditionally, vaginal hysterectomy and Manchester repair were the surgical approaches to treating uterine prolapse; however, both are associated with a relatively high subsequent vaginal vault recurrence. Laparoscopic uterine suspension is a new way of maintaining uterine support. Many women are keen to keep their uterus for a variety of reasons, including maintaining reproductive capability and the belief that the uterus, cervix, or both, may play a part of their gender identity. Non-removal of the uterus may retain functional (e.g. bowel, bladder and sexual) benefits. Therefore, the concept of uterine preservation for pelvic-organ prolapse has been of interest to pelvic-floor surgeons for many decades. In this review, we provide an overview of the available evidence on treating uterine prolapse surgically. We describe techniques to support the vault during hysterectomy, and examine the evidence for uterine-sparing surgery. Comparative outcomes for vaginal, abdominal and laparoscopic routes will be made.

Copyright © 2012 Elsevier Ltd. All rights reserved.

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volume 12 , pages 1–7 ( 2017 ) Cite this article

The purpose of review is to elucidate the role of uterine-sparing surgery in the treatment of uterine prolapse.
Hysterectomy with additional compartment-specific repairs has been the traditional surgical approach in women who are finished with childbearing. However, uterine-sparing approaches are continuing to evolve, and their implementation has not just been limited to women who desire to maintain childbearing potential. Uterine-sparing surgical approaches may be categorized by approach (vaginal, abdominal, laparoscopic, or robotic), origin of attachment (uterus, cervix, or uterosacral ligaments), location of attachment (sacrum, sacrospinous ligament, pectineal ligament, or abdominal wall), and whether sutures or mesh is used. Furthermore, an obliterative option (partial colpocleisis) is available for women who are no longer considering intercourse.
Although surgical outcomes are typically good and complications are low, most studies are associated with short-term follow-up and retrospective cohort design. Each procedure should be evaluated on its own merit, and randomized trials are welcome.
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Jones KA, Shepherd JP, Oliphant SS, Wang L, Bunker CH, Lowder JL. Trends in inpatient prolapse procedures in the United States, 1979–2006. Am J Obstet Gynecol. 2010;202:501. doi: 10.1016/j.ajog.2010.01.017 . e1.
Boyles SH, Weber AM, Meyn L. Procedures for pelvic organ prolapse in the United States, 1979–1997. Am J Obstet Gynecol. 2003;188:108–15. doi: 10.1067/mob.2003.101 .
Wu JM, Wechter ME, Geller EJ, Nguyen TV, Visco AG. Hysterectomy rates in the United States, 2003. Obstet Gynecol. 2007;110:1091–5. doi: 10.1097/01.AOG.0000285997.38553.4b .
Gutman R, Maher C. Uterine-preserving POP surgery. Int Urogynecol J. 2013;24:1803–13. doi: 10.1007/s00192-013-2171-2 .
Wright JD, Herzog TJ, Tsui J, Ananth CV, Lewin SN, Lu YS, et al. Nationwide trends in the performance of inpatient hysterectomy in the United States. Obstet Gynecol. 2013;122:233–41. doi: 10.1097/AOG.0b013e318299a6cf .
Detollenaere RJ, den Boon J, Kluivers KB, Vierhout ME, van Eijndhoven HW. Surgical management of pelvic organ prolapse and uterine descent in the Netherlands. Int Urogynecol J. 2013;24:781–8. doi: 10.1007/s00192-012-1934-5 .
Wu MP, Long CY, Huang KH, Chu CC, Liang CC, Tang CH. Changing trends of surgical approaches for uterine prolapse: an 11-year population-based nationwide descriptive study. Int Urogynecol J. 2012;23:865–72. doi: 10.1007/s00192-011-1647-1 .
Frick AC, Barber MD, Paraiso MF, Ridgeway B, Jelovsek JE, Walters MD. Attitudes toward hysterectomy in women undergoing evaluation for uterovaginal prolapse. Female Pelvic Med Reconstr Surg. 2013;19:103–9. doi: 10.1097/SPV.0b013e31827d8667 .
Korbly NB, Kassis NC, Good MM, Richardson ML, Book NM, Yip S, et al. Patient preferences for uterine preservation and hysterectomy in women with pelvic organ prolapse. Am J Obstet Gynecol. 2013;209:470. doi: 10.1016/j.ajog.2013.08.003 . e1-6.
DeLancey JOL: Chapter 20: Anatomy. In: Cardozo L, Staskin R, editors. Textbook of female urology and urogynecology, 3rd edition. Informa Healthcare; 2010.
Jeng CJ, Yang YC, Tzeng CR, Shen J, Wang LR. Sexual functioning after vaginal hysterectomy or transvaginal sacrospinous uterine suspension for uterine prolapse: a comparison. J Reprod Med. 2005;50:669–74.
Dietz V, van der Vaart CH, van der Graaf Y, Heintz P, Schraffordt Koops SE. One-year follow-up after sacrospinous hysteropexy and vaginal hysterectomy for uterine descent: a randomized study. Int Urogynecol J. 2010;21:209–16. doi: 10.1007/s00192-009-1014-7 .
• Detollenaere RJ, den Boon J, Stekelenburg J, IntHout J, Vierhout ME, Kluivers KB, et al. Sacrospinous hysteropexy versus vaginal hysterectomy with suspension of the uterosacral ligaments in women with uterine prolapse stage 2 or higher: multicentre randomised non-inferiority trial. BMJ. 2015;351:h3717. doi: 10.1136/bmj.h3717 . Multicenter randomized trial comparing sacrospinous hysteropexy with hysterectomy and transvaginal vault suspension .
Detollenaere RJ, Kreuwel IA, Dijkstra JR, Kluivers KB, van Eijndhoven HW. The impact of sacrospinous hysteropexy and vaginal hysterectomy with suspension of the uterosacral ligaments on sexual function in women with uterine prolapse: a secondary analysis of a randomized comparative study. J Sex Med. 2016;13:213–9. doi: 10.1016/j.jsxm.2015.12.006 .
Lo TS, Pue LB, Hu
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