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J Am Assoc Gynecol Laparosc. 2000 Nov;7(4):547-51.

Laparoscopic plication and suspension of the round ligament for chronic pelvic pain and dyspareunia.

Author information

1
Mesa Koru Sitesi Manolya Blok, 24, Cayyolu, 06530, Ankara, Turkey.

Abstract

STUDY OBJECTIVE:

To describe a technique of uterine suspension using round ligaments to relieve pain in selected patients with various degrees of uterine retroversion.

DESIGN:

Prospective clinical study (Canadian Task Force classification II-2).

SETTING:

University-based center for reproductive medicine.

PATIENTS:

Thirty women who underwent laparoscopy for investigation of chronic pelvic pain (CPP) and dyspareunia.

INTERVENTION:

Round ligaments were plicated using a modification of intracorporeal knot tying during laparoscopy.

MEASUREMENTS AND MAIN RESULTS:

The extent of plication was planned to elevate the uterus and bring it minimally forward. Mean +/- SD operating time was 14+/-4 minutes. Pain scores before and after surgery were 4.5+/-1.0 and 1.6+/-0.6, respectively (p<0.001). There were no complications during or after surgery. Only three women had minimal dyspareunia postoperatively, although they had anteverted uteri. One patient had severe dyspareunia that developed 7 months after surgery and continued through the second year of follow-up. Nineteen women with anteverted uteri were free of dyspareunia after 2 years.

CONCLUSION:

Round ligament plication is safe and effective in patients with retroverted uteri and dyspareunia or CPP.

PMID:
11044511
[Indexed for MEDLINE]

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