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Vaginal trachelectomy following laparoscopic supracervical hysterectomy and sacrocervicopexy.
Female Pelvic Med Reconstr Surg. 2014 Mar-Apr; 20(2):116-8.FP

Abstract

BACKGROUND

Current evidence supports cervical preservation at the time of abdominal prolapse repair using synthetic mesh to minimize vaginal mesh extrusion. This report aims to describe management of benign cervical disease following laparoscopic sacrocervicopexy including successful trachelectomy performed vaginally.

CASE

A 70-year-old sexually active woman presented with symptomatic pelvic organ prolapse and stress urinary incontinence. Her Papanicolaou smears over several years were unremarkable, and she had a benign endocervical polyp removed in the office 3 months before surgery. She underwent an uncomplicated robotic-assisted laparoscopic supracervical hysterectomy and sacrocervicopexy. She presented 8 months after surgery with persistent vaginal spotting after intercourse and was found to have a recurrent endocervical polyp. Ultimately, she underwent uncomplicated trachelectomy performed vaginally with resolution of her symptoms.

CONCLUSIONS

Retention of the cervix at the time of mesh-augmented abdominal prolapse repairs introduces a unique set of evaluation and management considerations for benign cervical disease. Trachelectomy performed vaginally was successful and uncomplicated in this case.

Authors+Show Affiliations

From the Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics & Gynecology, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

24566218

Citation

Minaglia, Steven. "Vaginal Trachelectomy Following Laparoscopic Supracervical Hysterectomy and Sacrocervicopexy." Female Pelvic Medicine & Reconstructive Surgery, vol. 20, no. 2, 2014, pp. 116-8.
Minaglia S. Vaginal trachelectomy following laparoscopic supracervical hysterectomy and sacrocervicopexy. Female Pelvic Med Reconstr Surg. 2014;20(2):116-8.
Minaglia, S. (2014). Vaginal trachelectomy following laparoscopic supracervical hysterectomy and sacrocervicopexy. Female Pelvic Medicine & Reconstructive Surgery, 20(2), 116-8. https://doi.org/10.1097/SPV.0b013e3182a09a57
Minaglia S. Vaginal Trachelectomy Following Laparoscopic Supracervical Hysterectomy and Sacrocervicopexy. Female Pelvic Med Reconstr Surg. 2014 Mar-Apr;20(2):116-8. PubMed PMID: 24566218.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Vaginal trachelectomy following laparoscopic supracervical hysterectomy and sacrocervicopexy. A1 - Minaglia,Steven, PY - 2014/2/26/entrez PY - 2014/2/26/pubmed PY - 2014/10/21/medline SP - 116 EP - 8 JF - Female pelvic medicine & reconstructive surgery JO - Female Pelvic Med Reconstr Surg VL - 20 IS - 2 N2 - BACKGROUND: Current evidence supports cervical preservation at the time of abdominal prolapse repair using synthetic mesh to minimize vaginal mesh extrusion. This report aims to describe management of benign cervical disease following laparoscopic sacrocervicopexy including successful trachelectomy performed vaginally. CASE: A 70-year-old sexually active woman presented with symptomatic pelvic organ prolapse and stress urinary incontinence. Her Papanicolaou smears over several years were unremarkable, and she had a benign endocervical polyp removed in the office 3 months before surgery. She underwent an uncomplicated robotic-assisted laparoscopic supracervical hysterectomy and sacrocervicopexy. She presented 8 months after surgery with persistent vaginal spotting after intercourse and was found to have a recurrent endocervical polyp. Ultimately, she underwent uncomplicated trachelectomy performed vaginally with resolution of her symptoms. CONCLUSIONS: Retention of the cervix at the time of mesh-augmented abdominal prolapse repairs introduces a unique set of evaluation and management considerations for benign cervical disease. Trachelectomy performed vaginally was successful and uncomplicated in this case. SN - 2154-4212 UR - https://www.unboundmedicine.com/medline/citation/24566218/Vaginal_trachelectomy_following_laparoscopic_supracervical_hysterectomy_and_sacrocervicopexy_ DB - PRIME DP - Unbound Medicine ER -