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Pregnancy outcomes after transvaginal sacrospinous hysteropexy.

Abstract

AIM

To evaluate the pregnancy outcomes in women who underwent transvaginal sacrospinous hysteropexy with the review of the literature STUDY DESIGN: 54 women who underwent transvaginal sacrospinous hysteropexy due to ≥grade 2 uterine prolapse during six-year period were identified from a computer based database. 8 of these who had pregnancy resulted in live birth subsequent to transvaginal sacrospinous hysteropexy were enrolled in this study. They were examined in case of pelvic organ prolapse recurrence and were questioned about their current self satisfaction status and PISQ-12 questionnaire.

RESULTS

The median age of women was 36 years (range 29-43 years). All of the women were multiparous and there were no women with a previous cesarean section. All of the subsequent conceptions following operation occured spontaneously. The median time between hysteropexy and conception was 16 months (range 10-30 months). The pregnancies continued at least 37 weeks with only one preterm delivery (due to twin pregnancy). All 8 pregnancies were delivered by cesarean section. The median follow-up period after cesarean section was 45 months (range 7-60 months). Majority of women (7/8, 87.5%) were satisfied with current outcomes of sacrospinous hysteropexy and PISQ12 questionnaire scores revealed improvement in 87.5% (7/8) of women.

CONCLUSION

Transvaginal sacrospinous hysteropexy is an appropriate surgical treatment method for symptomatic uterovaginal descensus in women who wish to preserve their uterine and future childbearing. And cesarean section is a reliable and satisfactory delivery route for women who underwent transvaginal sacrospinous hysteropexy.

Authors+Show Affiliations

Ankara Zekai Tahir Burak Woman's Health Research and Education Hospital, Turkey.Ankara Zekai Tahir Burak Woman's Health Research and Education Hospital, Turkey. Electronic address: kuntaykokanali@gmail.com.Ankara Zekai Tahir Burak Woman's Health Research and Education Hospital, Turkey.Ankara Zekai Tahir Burak Woman's Health Research and Education Hospital, Turkey.Ankara Zekai Tahir Burak Woman's Health Research and Education Hospital, Turkey.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28802943

Citation

Cavkaytar, Sabri, et al. "Pregnancy Outcomes After Transvaginal Sacrospinous Hysteropexy." European Journal of Obstetrics, Gynecology, and Reproductive Biology, vol. 216, 2017, pp. 204-207.
Cavkaytar S, Kokanalı MK, Tasdemir U, et al. Pregnancy outcomes after transvaginal sacrospinous hysteropexy. Eur J Obstet Gynecol Reprod Biol. 2017;216:204-207.
Cavkaytar, S., Kokanalı, M. K., Tasdemir, U., Doganay, M., & Aksakal, O. (2017). Pregnancy outcomes after transvaginal sacrospinous hysteropexy. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 216, pp. 204-207. doi:10.1016/j.ejogrb.2017.08.003.
Cavkaytar S, et al. Pregnancy Outcomes After Transvaginal Sacrospinous Hysteropexy. Eur J Obstet Gynecol Reprod Biol. 2017;216:204-207. PubMed PMID: 28802943.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pregnancy outcomes after transvaginal sacrospinous hysteropexy. AU - Cavkaytar,Sabri, AU - Kokanalı,Mahmut Kuntay, AU - Tasdemir,Umit, AU - Doganay,Melike, AU - Aksakal,Orhan, Y1 - 2017/08/04/ PY - 2017/01/23/received PY - 2017/03/19/revised PY - 2017/08/02/accepted PY - 2017/8/15/pubmed PY - 2018/5/22/medline PY - 2017/8/14/entrez KW - Childbearing KW - Transvaginal sacrospinous hysteropexy KW - Uterine prolapse SP - 204 EP - 207 JF - European journal of obstetrics, gynecology, and reproductive biology JO - Eur. J. Obstet. Gynecol. Reprod. Biol. VL - 216 N2 - AIM: To evaluate the pregnancy outcomes in women who underwent transvaginal sacrospinous hysteropexy with the review of the literature STUDY DESIGN: 54 women who underwent transvaginal sacrospinous hysteropexy due to ≥grade 2 uterine prolapse during six-year period were identified from a computer based database. 8 of these who had pregnancy resulted in live birth subsequent to transvaginal sacrospinous hysteropexy were enrolled in this study. They were examined in case of pelvic organ prolapse recurrence and were questioned about their current self satisfaction status and PISQ-12 questionnaire. RESULTS: The median age of women was 36 years (range 29-43 years). All of the women were multiparous and there were no women with a previous cesarean section. All of the subsequent conceptions following operation occured spontaneously. The median time between hysteropexy and conception was 16 months (range 10-30 months). The pregnancies continued at least 37 weeks with only one preterm delivery (due to twin pregnancy). All 8 pregnancies were delivered by cesarean section. The median follow-up period after cesarean section was 45 months (range 7-60 months). Majority of women (7/8, 87.5%) were satisfied with current outcomes of sacrospinous hysteropexy and PISQ12 questionnaire scores revealed improvement in 87.5% (7/8) of women. CONCLUSION: Transvaginal sacrospinous hysteropexy is an appropriate surgical treatment method for symptomatic uterovaginal descensus in women who wish to preserve their uterine and future childbearing. And cesarean section is a reliable and satisfactory delivery route for women who underwent transvaginal sacrospinous hysteropexy. SN - 1872-7654 UR - https://www.unboundmedicine.com/medline/citation/28802943/Pregnancy_outcomes_after_transvaginal_sacrospinous_hysteropexy L2 - https://linkinghub.elsevier.com/retrieve/pii/S0301-2115(17)30373-1 DB - PRIME DP - Unbound Medicine ER -