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Int Urogynecol J. 2011 May;22(5):577-84. doi: 10.1007/s00192-010-1325-8. Epub 2010 Dec 2.

Long-term outcomes of modified high uterosacral ligament vault suspension (HUSLS) at vaginal hysterectomy.

Author information

1
Department of Pelvic Reconstructive Surgery and Urogynaecology, St. George's Hospital, 4th Floor Lanesborough Wing, Blackshaw Road, London SW17 0QT England, UK. sdoum@yahoo.com

Abstract

INTRODUCTION AND HYPOTHESIS:

The aim of this study was to prospectively evaluate long-term outcomes of a modified high uterosacral ligament suspension (HUSLS) at vaginal hysterectomy for pelvic organ prolapse (POP).

METHODS:

POP was assessed 5 years postoperatively in 42 women who underwent vaginal hysterectomy and HUSLS for POP. Bladder, bowel, sexual function and quality of life (QoL) were evaluated.

RESULTS:

Preoperatively, 27/42 women had at least BW grade 2 uterine prolapse. At a mean follow-up period of 59.4 months (range: 40-79 months), two women had undergone surgical intervention for vault prolapse, 33 had no vault prolapse and six grade 1 vault prolapse. One woman declined vaginal examination. Twenty women were sexually active and 18 completed the PISQ-31. The mean total score for all domains was 91/125. On QoL assessments high scores were noted in all domains.

CONCLUSIONS:

Modified HUSLS at vaginal hysterectomy is associated with satisfactory long-term objective and subjective outcomes, sexual function and quality of life scores.

PMID:
21125218
DOI:
10.1007/s00192-010-1325-8
[Indexed for MEDLINE]

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