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Long-term follow-up (5-20 years) after uterine ventrosuspension for chronic pelvic pain and deep dyspareunia.
Gynecol Obstet Invest 2003; 55(4):216-9GO

Abstract

OBJECTIVE

To examine the long-term outcome of patients undergoing uterine ventrosuspension for chronic pelvic pain and deep dyspareunia.

METHODS

Eighty-two patients, presenting with retroverted uterus, pelvic pain and deep dyspareunia, underwent uterine ventrosuspension by laparotomy or laparoscopy during the period from 1981 to 1996. Only patients (56) with no pelvic pathologic condition, as identified intraoperatively, participated in the study. At the beginning of the year 2002, 41 out of 56 patients (73.2%) were attained by telephonic questionnaire, and they were asked to refer to the uterine ventrosuspension procedure.

RESULTS

Patients' average age was 32.3 years, and the mean duration of preoperative symptoms was 3 years. The mean follow-up period was 12 (range 5-20) years. The initial improvement in preoperative symptoms was observed in 70.7% of patients, whereas the final improvement was observed in 46.3% of patients, with no significant difference comparing the approach of laparotomy versus laparoscopy. Hysterectomy after uterine suspension was performed in 12.1% of patients (4.3% after laparotomy and 22.2% after laparoscopy). Twenty-three patients (56.1%) would recommend this operative procedure to others.

CONCLUSION

The long-term outcome of patients undergoing uterine ventrosuspesnion approximates to 50% success rate, with no significant difference comparing the approach of laparotomy versus laparoscopy.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Assaf Harofeh Medical Center, Zerifin 70300, Israel. IBukovsky@asaf.health.gov.ilNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Evaluation Study
Journal Article

Language

eng

PubMed ID

12904695

Citation

Halperin, Reuvit, et al. "Long-term Follow-up (5-20 Years) After Uterine Ventrosuspension for Chronic Pelvic Pain and Deep Dyspareunia." Gynecologic and Obstetric Investigation, vol. 55, no. 4, 2003, pp. 216-9.
Halperin R, Padoa A, Schneider D, et al. Long-term follow-up (5-20 years) after uterine ventrosuspension for chronic pelvic pain and deep dyspareunia. Gynecol Obstet Invest. 2003;55(4):216-9.
Halperin, R., Padoa, A., Schneider, D., Bukovsky, I., & Pansky, M. (2003). Long-term follow-up (5-20 years) after uterine ventrosuspension for chronic pelvic pain and deep dyspareunia. Gynecologic and Obstetric Investigation, 55(4), pp. 216-9.
Halperin R, et al. Long-term Follow-up (5-20 Years) After Uterine Ventrosuspension for Chronic Pelvic Pain and Deep Dyspareunia. Gynecol Obstet Invest. 2003;55(4):216-9. PubMed PMID: 12904695.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Long-term follow-up (5-20 years) after uterine ventrosuspension for chronic pelvic pain and deep dyspareunia. AU - Halperin,Reuvit, AU - Padoa,Anna, AU - Schneider,David, AU - Bukovsky,Ian, AU - Pansky,Mordechai, PY - 2002/07/23/received PY - 2003/04/28/accepted PY - 2003/8/9/pubmed PY - 2004/1/6/medline PY - 2003/8/9/entrez SP - 216 EP - 9 JF - Gynecologic and obstetric investigation JO - Gynecol. Obstet. Invest. VL - 55 IS - 4 N2 - OBJECTIVE: To examine the long-term outcome of patients undergoing uterine ventrosuspension for chronic pelvic pain and deep dyspareunia. METHODS: Eighty-two patients, presenting with retroverted uterus, pelvic pain and deep dyspareunia, underwent uterine ventrosuspension by laparotomy or laparoscopy during the period from 1981 to 1996. Only patients (56) with no pelvic pathologic condition, as identified intraoperatively, participated in the study. At the beginning of the year 2002, 41 out of 56 patients (73.2%) were attained by telephonic questionnaire, and they were asked to refer to the uterine ventrosuspension procedure. RESULTS: Patients' average age was 32.3 years, and the mean duration of preoperative symptoms was 3 years. The mean follow-up period was 12 (range 5-20) years. The initial improvement in preoperative symptoms was observed in 70.7% of patients, whereas the final improvement was observed in 46.3% of patients, with no significant difference comparing the approach of laparotomy versus laparoscopy. Hysterectomy after uterine suspension was performed in 12.1% of patients (4.3% after laparotomy and 22.2% after laparoscopy). Twenty-three patients (56.1%) would recommend this operative procedure to others. CONCLUSION: The long-term outcome of patients undergoing uterine ventrosuspesnion approximates to 50% success rate, with no significant difference comparing the approach of laparotomy versus laparoscopy. SN - 0378-7346 UR - https://www.unboundmedicine.com/medline/citation/12904695/Long-term_follow-up_(5-20_years)_after_uterine_ventrosuspension_for_chronic_pelvic_pain_and_deep_dyspareunia L2 - https://www.karger.com?DOI=10.1159/000072077 DB - PRIME DP - Unbound Medicine ER -