Introduction Sacrospinous hysteropexy is a uterine-preserving procedure for pelvic organ prolapse and has comparable out- procedure for treatment of apical prolapse. We present a literature comes to vaginal hysterectomy with repair. review evaluating the sacrospinous hysteropexy procedure and . . its current place in the surgical management of pelvic organ Keywords Apical prolapse Sacrospinous hysteropexy prolapse. Additionally, to assess the efficacy of the procedure, Vaginal hysterectomy Uterine preservation we performed a meta-analysis of studies comparing sacrospinous hysteropexy to vaginal hysterectomy and repair in terms of ana- tomical outcomes, complications, and repeat surgery. Introduction Methods Major literature databases including MEDLINE (1946 to 2 April 2016), Cochrane Central Register of Vaginal hysterectomy, with or without repair, is the most com- Controlled Trials (CENTRAL; 2016, Issue 3), and Embase mon procedure performed for apical prolapse. The underlying (1947 to 2 April 2016) were searched for relevant studies. etiology of apical prolapse is a weakness in the supports of the We used Cochrane Collaboration’s Review Manager software uterus and upper vagina [1, 2]. There is a growing body of to perform meta-analysis of randomized controlled studies evidence to suggest that uterine preserving procedures for and observational studies. treatment of prolapse are effective and
International Urogynecology Journal – Springer Journals
Published: Mar 3, 2017
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